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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
Nexterone

amiodarone hydrochloride

Medicare Part D

Pramipexole Dihydrochloride Extended-Release

Pramipexole Dihydrochloride

Medicare Part D

Amitriptyline Hydrochloride

Amitriptyline Hydrochloride

Medicare Part D

NAGLAZYME

galsulfase

Medicare Part D

Buprenorphine Sublingual

Buprenorphine Sublingual

Medicare Part D

Normosol-R

SODIUM CHLORIDE, SODIUM ACETATE ANHYDROUS, SODIUM GLUCONATE, POTASSIUM CHLORIDE, AND MAGNESIUM CHLORIDE

Medicare Part D

Lycopus virginicus

Chelidonium Majus, Iodium, Lycopus Virginicus, Ginkgo Biloba, Pinus Sylvestris, Fucus Vesiculosus, Spongia Tosta, Germanium Sesquioxide, Hypophysis Suis, Thyroidinum (Suis), Cysteinum, Manganese Gluconate, Alpha-Ketoglutaricum Acidum, Calcarea Carbonica, Ferrum Iodatum, Fumaricum Acidum, Kali Iodatum, Natrum Oxalaceticum, Pulsatilla (Vulgaris), Argentum Metallicum, Aurum Metallicum, Cuprum Metallicum, Eugenol, Formalinum, Lidocaine, Mercurius Solubilis, Molybdenum Metallicum, Niccolum Metallicum,

Medicare Part D

KOMBIGLYZE XR

SAXAGLIPTIN AND METFORMIN HYDROCHLORIDE

Medicare Part D

Lovaza

OMEGA-3-ACID ETHYL ESTERS

Medicare Part D

Tencon

butalbital and acetaminophen

Medicare Part D

Ibuprofen Famotidine

Ibuprofen Famotidine

Medicare Part D

BUPRENORPHINE HYDROCHLORIDE and NALOXONE HYDROCHLORIDE DIHYDRATE

BUPRENORPHINE HYDROCHLORIDE and NALOXONE HYDROCHLORIDE DIHYDRATE

Medicare Part D

RAMELTEON

Ramelteon

Medicare Part D

INDOMETHACIN

Indomethacin

Medicare Part D

SAPROPTERIN DIHYDROCHLORIDE

sapropterin dihydrochloride

Medicare Part D

Desonide Ointment, 0.05%

Desonide Ointment, 0.05%

Medicare Part D

Enalapril Maleate and Hydrochlorothiazide

Enalapril maleate and hydrochlorothiazide

Medicare Part D

PHENYLEPHRINE HCI

PHENYLEPHRINE HCI

Medicare Part D

ERGOCALCIFEROL

ergocalciferol

Medicare Part D

Norvir

Ritonavir

Medicare Part D

Onfi

clobazam

Medicare Part D

Para Solve

Calc carb, Chenopodium anth, Cina, Croton, Filix Mas, Gambocia, Granatum, Lycopodium, Merc corros, Nat phos, Santoninum, Senna, Spigelia anth, Stannum met, Tanacetum, Teuricum mar, Zingiber

Medicare Part D

REMERONSOLTAB, REMERON

Medicare Part D

Dopram

Doxapram hydrochloride

Medicare Part D

METFORMIN HYDROCHLORIDE

metformin hydrochloride

Medicare Part D

Carbamazepine

Carbamazepine

Medicare Part D

POTASSIUM CHLORIDE EXTENDED RELEASE

Potassium chloride

Medicare Part D

RISEDRONATE SODIUM

Risedronate Sodium

Medicare Part D

ETOMIDATE

Etomidate

Medicare Part D

Lidocaine HCl 3% and Hydrocortisone Acetate 0.5% Cream

Lidocaine HCl and Hydrocortisone Acetate

Medicare Part D

NITROFURANTOIN MONOHYDRATE MACROCRYSTALLINE

NITROFURANTOIN MONOHYDRATE

Medicare Part D

PHYTONADIONE

Phytonadione

Medicare Part D

Duloxetine DR

Duloxetine

Medicare Part D

DEXTROSE MONOHYDRATE

dextrose monohydrate

Medicare Part D

Sodium Sulfacetamide 10% and Sulfur 5% Cleanser

Sodium Sulfacetamide 10% and Sulfur 5%

Medicare Part D

DIMETHYL FUMARATE

Dimethyl fumarate

Medicare Part D

ELEPSIA XR 1000 MG, ELEPSIA XR 1500 MG

Medicare Part D

POTELIGEO

mogamulizumab-kpkc

Medicare Part D

TRIPTODUR

triptorelin

Medicare Part D

ACETAZOLAMIDE EXTENDED-RELEASE

Acetazolamide Extended-Release

Medicare Part D

Amitriptyline HCL

Amitriptyline Hcl

Medicare Part D

DEHYDRATED ALCOHOL

ALCOHOL

Medicare Part D

Ziprasidone Mesylate

ZIPRASIDONE MESYLATE

Medicare Part D

Revonto

dantrolene sodium

Medicare Part D

GLYBURIDE

Glyburide

Medicare Part D

BOSAYA

Denosumab-kyqq

Medicare Part D

Metformin HCL

Metformin HCl

Medicare Part D

Pituitarum posterium

ARGENTUM NITRICUM, ATROPINUM SULPHURICUM, AURUM MURIATICUM NATRONATUM, BOS TAURUS OVARY, BOS TAURUS PANCREAS, BOS TAURUS PITUITARUM POSTERIUM, BOS TAURUS UTERUS, CIMICIFUGA RACEMOSA, ESTRONE, HELONIAS DIOICA, PROGESTERONE, PULSATILLA VULGARIS, SABINA, SEPIA, SEQUOIADENDRON GIGANTEUM WHOLE, SUS SCROFA PINEAL GLAND, SUS SCROFA SPLEEN, THIOSINAMINUM, THYROIDINUM, VIBURNUM OPULUS

Medicare Part D

NIKTIMVO

axatilimab-csfr

Medicare Part D

Magnesium Sulfate

MAGNESIUM SULFATE HEPTAHYDRATE

Medicare Part D