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Coverage tools

Prior authorization

6,799 Medicare Part D prior-authorization rules indexed from CMS SPUF (Standard Public Use File). Step therapy, quantity limits, tier assignments — authoritative, updated quarterly.

Why only Medicare Part D?

Medicare Part D formularies are published by CMS and we can cite them. Commercial plan rules vary by plan + year + region and aren't reliably published in a machine-readable form — so we don't surface them here. For your commercial plan, check your insurer's formulary PDF directly (“drug list” on the member site) or ask your pharmacist to run a test claim.

DrugPayerPAStep therapyTier
LACTATED RINGERS AND DEXTROSE

SODIUM CHLORIDE, SODIUM LACTATE, POTASSIUM CHLORIDE, CALCIUM CHLORIDE, and DEXTROSE MONOHYDRATE

Medicare Part D

AZELASTINE HYDROCHLORIDE AND FLUTICASONE PROPIONATE

Azelastine hydrochloride and Fluticasone propionate

Medicare Part D

Dihydroergotamine Mesylate Nasal

Dihydroergotamine Mesylate Nasal

Medicare Part D

TELMISARTAN AND HYDROCHLOROTHIAZIDE

Telmisartan and Hydrochlorothiazide

Medicare Part D

Ioflupane I 123

IOFLUPANE I-123

Medicare Part D

Nexplanon

etonogestrel

Medicare Part D

Yes
IBU

Ibuprofen

Medicare Part D

Activella

Estradiol/norethindrone acetate

Medicare Part D

Aurovela 1.5/30

Norethindrone Acetate and Ethinyl Estradiol

Medicare Part D

Beyaz

Drospirenone/ethinyl estradiol/levomefolate calcium and levomefolate calcium

Medicare Part D

Levocarnitine

Levocarnitine

Medicare Part D

TWYNEO

Benzoyl Peroxide and Tretinoin

Medicare Part D

Ergomar Sublingual

Ergotamine Tartrate

Medicare Part D

Bufo rana

BUFO BUFO CUTANEOUS GLAND

Medicare Part D

AcetaZOLAMIDE

acetazolamide

Medicare Part D

Retin-A MICRO

Tretinoin

Medicare Part D

NUPRO Chlorhexidine Gluconate

CHLORHEXIDINE GLUCONATE

Medicare Part D

TOBI Podhaler

Tobramycin

Medicare Part D

OVACE PLUS

SULFACETAMIDE SODIUM

Medicare Part D

Fragmin

Dalteparin Sodium

Medicare Part D

Yes
Atracurium Besylate

ATRACURIUM BESYLATE

Medicare Part D

Clotrimazole Topical Solution USP, 1%

Medicare Part D

Memantine Hydrochloride

Memantine Hydrochloride

Medicare Part D

Phentermine Hydrochloride

PHENTERMINE HYDROCHLORIDE

Medicare Part D

Meropenem

Meropenem

Medicare Part D

Cardizem

Diltiazem Hydrochloride

Medicare Part D

FEIBA

anti-inhibitor coagulant complex

Medicare Part D

OHM-REN

Apis Mellifica, Aranea Diadema, Berberis Vulgaris, Cantharis, Equisetum Hyemale, Hydrastis Canadensis, Juglans Regia, Kali Bichromicum, Mercurius Solubilis, Sarsaparilla, Solidago Virgaurea

Medicare Part D

Sodium Sulfacetamide 10 Sulfur 2 cream

Sulfacetamide Sodium and Sulfur

Medicare Part D

Sevelamer Hydrochloride

Sevelamer Hydrochloride

Medicare Part D

Methyltestosterone

METHYLTESTOSTERONE

Medicare Part D

Diclogen

Diclofenac Sodium, Camphor and Menthol

Medicare Part D

Dopamine Hydrochloride in Dextrose

Dopamine Hydrochloride in Dextrose

Medicare Part D

AMLODIPINE BESYLATE

Amlodipine Besylate

Medicare Part D

Selenious Acid

Selenious Acid

Medicare Part D

Ethacrynic Acid

Ethacrynic Acid

Medicare Part D

Doxorubicin Hydrochloride

DOXORUBICIN HYDROCHLORIDE

Medicare Part D

Etoposide

Etoposide

Medicare Part D

VERQUVO

vericiguat

Medicare Part D

Pantoprazole

PANTOPRAZOLE

Medicare Part D

Lithostat

acetohydroxamic acid

Medicare Part D

Cefepime Hydrochloride

CEFEPIME HYDROCHLORIDE

Medicare Part D

Conjugated Estrogens

CONJUGATED ESTROGENS

Medicare Part D

KISQALI FEMARA CO-PACK

letrozole and ribociclib

Medicare Part D

Sodium Sulfacetamide 9% - Sulfur 4%

SULFACETAMIDE SODIUM, SULFUR

Medicare Part D

Onpattro

patisiran

Medicare Part D

SOTALOL HYDROCHLORIDE

Sotalol Hydrochloride

Medicare Part D

MYCOPHENOLATE MOFETIL

Mycophenolate Mofetil

Medicare Part D

Ribavirin

Ribavirin

Medicare Part D

Xylocaine, Xylocaine MPF

Medicare Part D