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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
SAVAYSA

EDOXABAN TOSYLATE

Medicare Part D

YUTIQ

FLUOCINOLONE ACETONIDE

Medicare Part D

Sodium Sulfacetamide 9% - Sulfur 4.5% Wash

SULFACETAMIDE SODIUM, SULFUR

Medicare Part D

BIVALIRUDIN

Bivalirudin

Medicare Part D

Carbocaine

Mepivacaine Hydrochloride

Medicare Part D

MEDROXYPROGESTERONE ACETATE

Medroxyprogesterone acetate

Medicare Part D

Infuvite Pediatric

multiple vitamins injection

Medicare Part D

XARELTO

rivaroxaban

Medicare Part D

Brompheniramine Maleate, Pseudoephedrine Hydrochloride, Dextromethorphan Hydrobromide

Brompheniramine Maleate, Pseudoephedrine Hydrochloride, and Dextromethorphan Hydrobromide

Medicare Part D

ALYACEN 1/35

norethindrone and ethinyl estradiol

Medicare Part D

LIDO BDK

Lidocaine, Prilocaine

Medicare Part D

MITIGO

Morphine Sulfate

Medicare Part D

Cefazolin Sodium

CEFAZOLIN SODIUM

Medicare Part D

Nitrogen, Refrigerated

Nitrogen, Refrigerated

Medicare Part D

Nystatin

NYSTATIN

Medicare Part D

Bendeka

bendamustine hydrochloride

Medicare Part D

Hydrochlorothiazide

Hydrochlorothiazide

Medicare Part D

TELMISARTAN AND HYDROCHLOROTHIAZIDE

Telmisartan and Hydrochlorothiazide

Medicare Part D

Formoterol Fumarate Inhalation Solution

formoterol fumarate dihydrate

Medicare Part D

Kit for the Preparation of Indium In 111 Pentetreotide

Indium In-111 Pentetreotide

Medicare Part D

SEROQUEL

quetiapine

Medicare Part D

sulfacetamide sodium and sulfur Sodium Sulfacetamide - Sulfur

sulfacetamide sodium and sulfur

Medicare Part D

Tyvaso DPI

treprostinil

Medicare Part D

Caduet

amlodipine and atorvastatin

Medicare Part D

Nimodipine

nimodipine

Medicare Part D

EPSOLAY

Benzoyl Peroxide

Medicare Part D

Articaine Hydrochloride and Epinephrine

Articaine Hydrochloride and Epinephrine

Medicare Part D

HYLENEX Recombinant

Hyaluronidase

Medicare Part D

HYDROMORPHONE HYDROCHLORIDE

HYDROMORPHONE HYDROCHLORIDE

Medicare Part D

FYARRO

Sirolimus

Medicare Part D

Humira

Adalimumab

Medicare Part D

Yes
Uracin 20%

Urea 20%

Medicare Part D

C20H10Na2O5 Fluorescein Sodium Ophthalmic Strips

Fluorescein Sodium

Medicare Part D

AZASITE

azithromycin monohydrate

Medicare Part D

Clindamycin in 5 Percent Dextrose

Clindamycin in 5 Percent Dextrose

Medicare Part D

Clopidogrel

Clopidogrel

Medicare Part D

Emtricitabine/TDF

Emtricitabine/TDF

Medicare Part D

Carbidopa-levodopa

carbidopa and levodopa

Medicare Part D

Pyridostigmine Bromide

PYRIDOSTIGMINE BROMIDE

Medicare Part D

Jemperli

dostarlimab

Medicare Part D

Oxytocin

OXYTOCIN

Medicare Part D

TESTOSTERONE

Testosterone

Medicare Part D

Mycophenolate Mofetil, mycophenolate mofetil

Medicare Part D

Pregnyl

CHORIOGONADOTROPIN ALFA

Medicare Part D

Ertaczo

Sertaconazole Nitrate

Medicare Part D

Dexmedetomidine, Dexmedetomidine in Dextrose

Medicare Part D

Dutasteride and Tamsulosin Hydrochloride

Dutasteride and Tamsulosin Hydrochloride

Medicare Part D

Oxygen/Helium 40/60

Oxygen/Helium 40/60

Medicare Part D

PRO Gel 5000 Mint, PRO Gel 5000 Citrus

Medicare Part D

OXYTROL

Oxybutynin

Medicare Part D