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
Ashlyna

Levonorgestrel and Ethinyl Estradiol and Ethinyl Estradiol

Medicare Part D

METFORMIN HYDROCHLORIDE ER

Metformin hydrochloride

Medicare Part D

Temozolomide

Temozolomide

Medicare Part D

Milrinone Lactate in 5% Dextrose

Milrinone Lactate in 5% Dextrose

Medicare Part D

JANUVIA

sitagliptin

Medicare Part D

PAVBLU

aflibercept-ayyh

Medicare Part D

Hycodan

Hydrocodone Bitartrate and Homatropine Methylbromide

Medicare Part D

Ethacrynic Acid

Ethacrynic Acid

Medicare Part D

Medical Oxygen Compressed

OXYGEN

Medicare Part D

Cortenema

Hydrocortisone

Medicare Part D

Levetiracetam Extended-Release

LEVETIRACETAM

Medicare Part D

DICLOFENAC SODIUM

diclofenac sodium

Medicare Part D

Lifitegrast

Lifitegrast

Medicare Part D

MAXALT, MAXALT-MLT

Medicare Part D

CETIRIZINE HYDROCHLORIDE

Cetirizine Hydrochloride

Medicare Part D

Eribulin Mesylate

Eribulin Mesylate

Medicare Part D

Doxylamine Succinate and Pyridoxine Hydrochloride

Doxylamine succinate and pyridoxine hydrochloride

Medicare Part D

Ciprofloxacin

Ciprofloxacin Hydrochloride

Medicare Part D

AdreView

Iobenguane I-123

Medicare Part D

ERYTHROMYCIN

ERYTHROMYCIN

Medicare Part D

Nystatin Cream

NYSTATIN

Medicare Part D

EPINASTINE HYDROCHLORIDE

EPINASTINE HYDROCHLORIDE

Medicare Part D

Panhematin

hemin

Medicare Part D

1% LIDOCAINE HCI

1% LIDOCAINE HCI

Medicare Part D

Palonosetron Hydrochloride

Palonosetron Hydrochloride

Medicare Part D

Dextroamphetamine Saccharate, Amphetamine Aspartate, Dextroamphetamine Sulfate, Amphetamine Sulfate Tablets,CII

Medicare Part D

Dulera

mometasone furoate and formoterol fumarate dihydrate

Medicare Part D

Butalbital, Acetaminophen, and Caffeine

Butalbital, Acetaminophen, and Caffeine

Medicare Part D

Labetalol Hydrochloride

Labetalol Hydrochloride

Medicare Part D

BUPROPION HYDROCHLORIDE

Bupropion hydrochloride

Medicare Part D

Eribulin Mesylate

Eribulin Mesylate

Medicare Part D

CHLORDIAZEPOXIDE HYDROCHLORIDE

CHLORDIAZEPOXIDE HYDROCHLORIDE

Medicare Part D

Lorazepam

Lorazepam

Medicare Part D

IRBESARTAN AND HYDROCHLOROTHIAZIDE

Irbesartan and Hydrochlorothiazide

Medicare Part D

SUNOSI

solriamfetol

Medicare Part D

Reblozyl

Luspatercept

Medicare Part D

Diclofenac Sodium Misoprostol

Diclofenac Sodium and Misoprostol

Medicare Part D

PULMICORT FLEXHALER

Budesonide

Medicare Part D

Bucapsol

Buspirone Hydrochloride

Medicare Part D

Hyoscyamine Sulfate ODT

Hyoscyamine Sulfate

Medicare Part D

Ionite APF Foam

Sodium Fluoride

Medicare Part D

Inflammacin

diclofenac sodium, capsaicin

Medicare Part D

GAMIFANT

emapalumab-lzsg

Medicare Part D

Tradjenta

linagliptin

Medicare Part D

TRIAMCINOLONE ACETONIDE

Triamcinolone Acetonide

Medicare Part D

VFEND

Voriconazole

Medicare Part D

Neurontin

gabapentin

Medicare Part D

Pemetrexed disodium

Pemetrexed Disodium

Medicare Part D

CELECOXIB

Celecoxib

Medicare Part D

Doxorubicin Hydrochloride

DOXORUBICIN HYDROCHLORIDE

Medicare Part D