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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
DermacinRx Lidotral

Lidocaine Hydrochloride

Medicare Part D

Labetalol Hydrochloride

Labetalol Hydrochloride

Medicare Part D

NORETHINDRONE

norethindrone acetate and ethinyl estradiol

Medicare Part D

Hyoscyamine Sulfate, Hyoscyamine sulfate, Hyoscyamine sulfate Sublingual

Medicare Part D

DEFERASIROX

Deferasirox

Medicare Part D

Fludarabine Phosphate

Fludarabine phosphate

Medicare Part D

Oxygen Compressed Gas

Oxygen Compressed Gas

Medicare Part D

AZITHROMYCIN

Azithromycin

Medicare Part D

Junel FE

Junel FE

Medicare Part D

Dalbavancin

dalbavancin hydrochloride

Medicare Part D

Lofexidine hydrochloride

Lofexidine Hydrochloride

Medicare Part D

Aceticum acidum

ACETICUM ACIDUM, ARNICA MONTANA, AVENA SATIVA, CALCAREA CARBONICA, CALCAREA PHOSPHORICA, CALCAREA SULPHURICA, CEANOTHUS AMERICANUS, CERATOSTIGMA ILLMOTTIANUM, CHININUM ARSENICOSUM, CITRICUM ACIDUM, ENGLISH ELM, EUROPEAN HORNBEAM, EUROPEAN OLIVE, GENTIANELLA AMARELLA, HYDROFLUORICUM ACIDUM, JUGLANS REGIA, LACTICUM ACIDUM, MAGNESIA PHOSPHORICA, NATRUM MURIATICUM, NATRUM PHOSPHORICUM, NATRUM SILICOFLUORICUM, NATRUM SULPHURICUM, PASSIFLORA INCARNATA, PHOSPHORICUM ACIDUM, SARCOLACTICUM ACIDUM, SOLIDAGO VIRGAUREA

Medicare Part D

Vilazodone Hydrochloride

vilazodone hydrochloride

Medicare Part D

POTASSIUM CHLORIDE IN DEXTROSE

Potassium Chloride and Dextrose Monohydrate

Medicare Part D

Tolcapone

Tolcapone

Medicare Part D

ZELVYSIA

SAPROPTERIN DIHYDROCHLORIDE

Medicare Part D

Montelukast Sodium

Montelukast Sodium

Medicare Part D

Insulin Degludec

insulin degludec

Medicare Part D

Yes
Travoprost Ophthalmic Solution

Travoprost Ophthalmic Solution

Medicare Part D

Metoprolol Tartrate

Metoprolol tartrate

Medicare Part D

Prevalite

cholestyramine

Medicare Part D

LIDOCAINE HCl AND EPINEPHRINE

LIDOCAINE HCl and EPINEPHRINE

Medicare Part D

Almotriptan Malate

Almotriptan Malate

Medicare Part D

Zap APF

Sodium Fluoride

Medicare Part D

Glucose and Sodium Chloride

Dextrose Anhydrous and Sodium Chloride

Medicare Part D

ATROPEN Auto-Injector

atropine

Medicare Part D

DECITABINE

Decitabine

Medicare Part D

VIGAFYDE

vigabatrin

Medicare Part D

Safyral

Drospirenone/ethinyl estradiol/levomefolate calcium and levomefolate calcium

Medicare Part D

LURASIDONE HYDROCHLORIDE

LURASIDONE HYDROCHLORIDE

Medicare Part D

TERBINAFINE HYDROCHLORIDE

Terbinafine Hydrochloride

Medicare Part D

DULOXETINE DELAYED-RELEASE

DULOXETINE HYDROCHLORIDE

Medicare Part D

Sterile Diluent for Treprostinil, Treprostinil

Medicare Part D

Natesto nasal gel

testosterone

Medicare Part D

Betadine

POVIDONE-IODINE

Medicare Part D

COSELA

trilaciclib

Medicare Part D

Cetirizine Hydrochloride Oral Solution

Cetirizine Hydrochloride

Medicare Part D

Ammonium Lactate

Ammonium Lactate

Medicare Part D

Petroselinum sativum

Berberis Vulgaris, Hydrangea Arborescens, Petroselinum Sativum, Solidago Virgaurea, Uva Ursi, Rubia Tinctorum, Glutathione, Kidney (Suis), Bryonia (Alba), Eupatorium Purpureum, Mercurius Corrosivus

Medicare Part D

Basic Dental Emergency Kit

Epinephrine, Albuterol Sulfate, Nitroglycerin, Diphenhydramine Hydrochloride, Aspirin

Medicare Part D

Insulin Lispro Protamine and Insulin Lispro Injectable Suspension Mix75/25 KwikPen

Medicare Part D

Yes
Cyclosporine Modified

Cyclosporine

Medicare Part D

Bonsity

teriparatide

Medicare Part D

KETOROLAC TROMETHAMINE

Ketorolac Tromethamine

Medicare Part D

Brompheniramine maleate, pseudoephedrine hydrochloride,

Brompheniramine Maleate, Pseudoephedrine Hydrochloride, and Dextromethorphan Hydrobromide

Medicare Part D

MEMANTINE AND DONEPEZIL HYDROCHLORIDES

Memantine and Donepezil

Medicare Part D

CICLOPIROX

Ciclopirox

Medicare Part D

Valium

diazepam

Medicare Part D

Tikosyn

dofetilide

Medicare Part D

MARCAINE WITH EPINEPHRINE

BUPIVACAINE HYDROCHLORIDE AND EPINEPHRINE

Medicare Part D