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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
Integra Plus

Ferrous Fumarate and Polysacchride Iron Vitamin Mineral Complex Supplement

Medicare Part D

60 Second Fluoride Gel

Sodium Fluoride

Medicare Part D

KOLORZ SIXTY SECOND FLUORIDE TRIPLE MINT, KOLORZ SIXTY SECOND FLUORIDE CHERRY CHEESECAKE, KOLORZ SIXTY SECOND FLUORIDE COTTON CANDY, KOLORZ SIXTY SECOND FLUORIDE BLUE RASPBERRY, KOLORZ SIXTY SECOND FLUORIDE PINA COLADA

Medicare Part D

Aminophylline

Aminophylline

Medicare Part D

SUMATRIPTAN SUCCINATE

Sumatriptan Succinate

Medicare Part D

Iomeron

Iomeprol Injection

Medicare Part D

ROSUVASTATIN CALCIUM

Rosuvastatin Calcium

Medicare Part D

CANDESARTAN CILEXETIL

Candesartan Cilexetil

Medicare Part D

Misoprostol

MISOPROSTOL

Medicare Part D

Candesartan Cilexetil and Hydrochlorothiazide

Candesartan Cilexetil and Hydrochlorothiazide

Medicare Part D

Timolol GFS

timolol maleate

Medicare Part D

ORFADIN

Nitisinone

Medicare Part D

Cimzia

certolizumab pegol

Medicare Part D

Yes
Omnaris

ciclesonide

Medicare Part D

Tlando

testosterone undecanoate

Medicare Part D

Yes
DONEPEZIL HYDROCHLORIDE

Donepezil Hydrochloride

Medicare Part D

Junel 21 Day, Junel Fe 28 Day

Medicare Part D

Hemmorex-HC

hydrocortisone acetate

Medicare Part D

Irbesartan

Irbesartan

Medicare Part D

ADRENALIN(R)

epinephrine

Medicare Part D

Methimazole

Methimazole

Medicare Part D

TONMYA

Cyclobenzaprine Hydrochloride

Medicare Part D

Rozlytrek

ENTRECTINIB

Medicare Part D

Nilutamide

Nilutamide

Medicare Part D

Atenolol

Atenolol

Medicare Part D

Ambien CR

zolpidem tartrate

Medicare Part D

Apocynum cannabinum

APOCYNUM CANNABINUM ROOT

Medicare Part D

Nexiclon XR

Clonidine

Medicare Part D

Allopurinol

Allopurinol

Medicare Part D

EBANGA

Ansuvimab

Medicare Part D

LEUPROLIDE ACETATE

Leuprolide Acetate

Medicare Part D

Prolate

oxycodone hydrochloride and acetaminophen

Medicare Part D

Hydrocortisone Rectal Suspension (Retention)

Hydrocortisone

Medicare Part D

Oraverse

Phentolamine Mesylate

Medicare Part D

Balsalazide Disodium

Balsalazide Disodium

Medicare Part D

Azor

amlodipine besylate and olmesartan medoxomil

Medicare Part D

Erlotinib Hydrochloride

Erlotinib Hydrochloride

Medicare Part D

Alprostadil

Alprostadil

Medicare Part D

BUPIVACAINE HYDROCHLORIDE

BUPIVACAINE HYDROCHLORIDE

Medicare Part D

Isolyte S

SODIUM CHLORIDE, SODIUM GLUCONATE, SODIUM ACETATE, POTASSIUM CHLORIDE, and MAGNESIUM CHLORIDE

Medicare Part D

Indocyanine Green

Indocyanine Green and Water

Medicare Part D

Deflazacort

Deflazacort

Medicare Part D

NUEDEXTA

dextromethorphan hydrobromide and quinidine sulfate

Medicare Part D

Stiolto Respimat

tiotropium bromide and olodaterol

Medicare Part D

NETSPOT

68Ga-DOTATATE

Medicare Part D

VISIONBLUE

Trypan Blue

Medicare Part D

Aczone

dapsone

Medicare Part D

Agaricus Muscarius

AMANITA MUSCARIA FRUITING BODY

Medicare Part D

BISOPROLOL FUMARATE

Bisoprolol Fumarate

Medicare Part D

VyLibra

norgestimate and ethinyl estradiol

Medicare Part D