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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
BUTALBITAL AND ACETAMINOPHEN

butalbital and acetaminophen

—

Medicare Part D

———
PHYTONADIONE

Phytonadione

—

Medicare Part D

———
UVADEX

Methoxsalen

—

Medicare Part D

———
Fulvestrant

Fulvestrant

—

Medicare Part D

———
DORZOLAMIDE HYDROCHLORIDE TIMOLOL MALEATE

dorzolamide hydrochloride timolol maleate

—

Medicare Part D

———
AMOXICILLIN AND CLAVULANATE POTASSIUM

Amoxicillin and Clavulanate Potassium

—

Medicare Part D

———
Mixed Salts of a Single Entity Amphetamine Product XR

Dextroamphetamine Saccharate, Amphetamine Aspartate Monohydrate, Dextroamphetamine Sulfate, Amphetamine Sulfate

—

Medicare Part D

———
CEFAZOLIN

Cefazolin

—

Medicare Part D

———
ZILXI

Minocycline

—

Medicare Part D

———
VANCOMYCIN HYDROCHLORIDE

Vancomycin Hydrochloride

—

Medicare Part D

———
Losartan Potassium

losartan potassium and hydrochlorothiazide

—

Medicare Part D

———
Sterile Cord Blood Collection Unit (MSC128D)

Sterile Cord Blood Collection Unit

—

Medicare Part D

———
Inrebic

Fedratinib Hydrochloride

—

Medicare Part D

———
PreviDent 5000 Plus Fruitastic, PreviDent 5000 Plus Spearmint

—

Medicare Part D

———
ORPHENADRINE CITRATE

Orphenadrine citrate

—

Medicare Part D

———
Doxylamine Succinate and Pyridoxine Hydrochloride

Doxylamine succinate and pyridoxine hydrochloride

—

Medicare Part D

———
Escitalopram

Escitalopram Oxalate

—

Medicare Part D

———
XGEVA

denosumab

—

Medicare Part D

Yes——
Aminosyn-PF

ISOLEUCINE, LEUCINE, LYSINE ACETATE, METHIONINE, PHENYLALANINE, THREONINE, TRYPTOPHAN, VALINE, ALANINE, ARGININE, ASPARTIC ACID, GLUTAMIC ACID, GLYCINE, HISTIDINE, PROLINE, SERINE, TAURINE, and TYROSINE

—

Medicare Part D

———
E-Z-Paste

Barium Sulfate

—

Medicare Part D

———
ZERBAXA

ceftolozane and tazobactam

—

Medicare Part D

Yes——
Perforomist

formoterol fumarate dihydrate

—

Medicare Part D

———
Dextroamphetamine Saccharate, Amphetamine Aspartate, Dextroamphetamine Sulfate, Amphetamine Sulfate

Dextroamphetamine Saccharate, Amphetamine Aspartate, Dextroamphetamine Sulfate, Amphetamine Sulfate

—

Medicare Part D

———
AMANTADINE HYDROCHLORIDE

Amantadine Hydrochloride

—

Medicare Part D

———
Polyethylene Glycol 3350 and electrolytes - Unflavored, Polyethylene Glycol 3350 and electrolytes with Lemon Flavor, Polyethylene Glycol 3350 and electrolyteswith Orange Flavor

—

Medicare Part D

———
Esomeprazole Magnesium

esomeprazole magnesium

—

Medicare Part D

———
Sulfacetamide Sodium

SULFACETAMIDE SODIUM

—

Medicare Part D

———
Clobex

Clobetasol Propionate

—

Medicare Part D

———
Lidothol Gel

lidocaine and menthol

—

Medicare Part D

———
LOPRESSOR

metoprolol tartrate

—

Medicare Part D

———
Dextroamphetamine Saccharate, Amphetamine Aspartate Monohydrate, Dextroamphetamine Sulfate, and Amphetamine Sulfate Extended-Release

DEXTROAMPHETAMINE SACCHARATE, AMPHETAMINE ASPARTATE MONOHYDRATE, DEXTROAMPHETAMINE SULFATE, and AMPHETAMINE SULFATE

—

Medicare Part D

———
CLEMASTINE FUMARATE

Clemastine Fumarate

—

Medicare Part D

———
ZENATANE

ISOTRETINOIN

—

Medicare Part D

———
CONCERTA

Methylphenidate hydrochloride

—

Medicare Part D

———
Pirfenidone

Pirfenidone

—

Medicare Part D

———
Flac Otic Oil

fluocinolone acetonide

—

Medicare Part D

———
Amantadine HCl

Amantadine HCL

—

Medicare Part D

———
Quinapril and Hydrochlorothiazide 10/12.5, Quinapril and Hydrochlorothiazide 20/12.5, Quinapril and Hydrochlorothiazide 20/25

—

Medicare Part D

———
SHAROBEL

Norethindrone

—

Medicare Part D

———
PLERIXAFOR

plerixafor

—

Medicare Part D

———
Moexipril Hydrochloride

Moexipril Hydrochloride

—

Medicare Part D

———
Tretinoin

Tretinoin

—

Medicare Part D

———
Auryxia

ferric citrate

—

Medicare Part D

———
REXTOVY

Naloxone Hydrochloride

—

Medicare Part D

———
LEVONORGESTREL AND ETHINYL ESTRADIOL AND ETHINYL ESTRADIOL

levonorgestrel and ethinyl estradiol and ethinyl estradiol

—

Medicare Part D

———
NITROGLYCERIN

Nitroglycerin

—

Medicare Part D

———
Depo-Testosterone

testosterone cypionate

—

Medicare Part D

———
Verkazia

cyclosporine

—

Medicare Part D

———
AFREZZA

INSULIN HUMAN

—

Medicare Part D

———
Burkhart Neutral pH

Sodium Fluoride

—

Medicare Part D

———