Skip to main content

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
ACETAMINOPHEN AND CODEINE

acetaminophen and codeine phosphate

Medicare Part D

NICARDIPINE HYDROCHLORIDE

Nicardipine Hydrochloride

Medicare Part D

Cyclosporine

cyclosporine

Medicare Part D

SUSTOL

granisetron

Medicare Part D

SUMATRIPTAN

Sumatriptan Succinate

Medicare Part D

Thalitone

chlorthalidone

Medicare Part D

Cyanokit

Hydroxocobalamin

Medicare Part D

Tobramycin Inhalation

tobramycin inhalation

Medicare Part D

Xenon, Xe-133

Xenon

Medicare Part D

Irinotecan Hydrochloride

Irinotecan Hydrochloride

Medicare Part D

Metoprolol Tartrate

Metoprolol tartrate

Medicare Part D

SUBVENITE

LAMOTRIGINE

Medicare Part D

Buprenorphine Sublingual C-III

Buprenorphine Sublingual C-III

Medicare Part D

Ziprasidone

ziprasidone

Medicare Part D

Mydriacyl

tropicamide

Medicare Part D

VITRAKVI

LAROTRECTINIB

Medicare Part D

NUPLAZID

pimavanserin tartrate

Medicare Part D

Maraviroc

Maraviroc

Medicare Part D

Vueway

Gadopiclenol

Medicare Part D

URIBEL TABS

Methenamine, Benzoic Acid, Phenyl Salicylate, Methylene Blue, and Hyoscyamine Sulfate

Medicare Part D

Nexlizet

Bempedoic Acid and Ezetimibe

Medicare Part D

ATACAND

Candesartan Cilexetil

Medicare Part D

OCUFLOX

ofloxacin

Medicare Part D

Tindamax

tinidazole

Medicare Part D

Cystagon

cysteamine bitartrate

Medicare Part D

Cetrorelix Acetate

cetrorelix acetate

Medicare Part D

PNV-Omega

ascorbic acid, cholecalciferol, .alpha.-tocopherol, pyridoxine, folic acid, cyanocobalamin, calcium corbonate, ferrous fumarate, potassium iodide, magnesium, doconexent, icosapent

Medicare Part D

Soliqua 100/33

insulin glargine and lixisenatide

Medicare Part D

Mirena

Levonorgestrel

Medicare Part D

Estradiol Vaginal

Estradiol

Medicare Part D

Ethacrynic Acid

Ethacrynic Acid

Medicare Part D

MB CAPS

methenamine, sodium phosphate, monobasic, monohydrate, phenyl salicylate, methylene blue, and hyoscyamine sulfate

Medicare Part D

Humalog Mix75/25, Humalog Mix75/25 KwikPen

Medicare Part D

TRIAMTERENE AND HYDROCHLOROTHIAZIDE

Triamterene and Hydrochlorothiazide

Medicare Part D

Xyzal

Levocetirizine dihydrochloride

Medicare Part D

Methsuximide

Methsuximide

Medicare Part D

Betalido Kit

Betamethasone Sodium Phosphate, Betamethasone Acetate, Lidocaine, Povidine Iodine

Medicare Part D

AQUASOL A Parenteral

Water-Miscible Retinyl Palmitate

Medicare Part D

SODIUM SULFACETAMIDE AND SULFUR

Sodium Sulfacetamide and Sulfur

Medicare Part D

PCXX WATERMELON NEUTRAL GL

Sodium Fluoride

Medicare Part D

Binosto

alendronate sodium

Medicare Part D

Ranitidine Hydrochloride

Ranitidine Hydrochloride

Medicare Part D

Difluprednate Ophthalmic

difluprednate ophthalmic

Medicare Part D

FOTIVDA

Tivozanib

Medicare Part D

EXTRANEAL

icodextrin, sodium chloride, sodium lactate, calcium chloride, magnesium chloride

Medicare Part D

Vancocin

vancomycin hydrochloride

Medicare Part D

XROMI

Hydroxyurea

Medicare Part D

Humalog KwikPen, Humalog Junior KwikPen, Humalog, Humalog Tempo Pen, Sterile Diluent

Medicare Part D

SILVER SULFADIAZINE

Silver Sulfadiazine

Medicare Part D

Arnuity Ellipta

fluticasone furoate

Medicare Part D