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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
Odomzo

sonidegib

Medicare Part D

DIFLUPREDNATE

Difluprednate

Medicare Part D

Lioresal (baclofen)

baclofen

Medicare Part D

FOSAPREPITANT

FOSAPREPITANT

Medicare Part D

LEUCOVORIN CALCIUM

Leucovorin Calcium

Medicare Part D

NEXIUM

Esomeprazole magnesium

Medicare Part D

Isoproterenol Hydrochloride

Isoproterenol Hydrochloride

Medicare Part D

VALTREX

valacyclovir hydrochloride

Medicare Part D

Felbatol

felbamate

Medicare Part D

Climara

Estradiol

Medicare Part D

Marbeta L Kit

Betamethasone Sodium Phosphate, Betamethasone Acetate, Lidocaine Hydrochloride, Bupivacaine Hydrochloride, Povidine Iodine, Isopropyl Alcohol

Medicare Part D

Desonide

Desonide

Medicare Part D

Xelria Fe

norethindrone and ethinyl estradiol and ferrous fumarate

Medicare Part D

Phenazopyridine Hydrochloride

PHENAZOPYRIDINE HYDROCHLORIDE

Medicare Part D

Escitalopram Oxalate

Escitalopram Oxalate

Medicare Part D

Minocycline Hydrochloride

minocycline hydrochloride

Medicare Part D

NEVANAC

nepafenac

Medicare Part D

Yes
LIDOCAINE HCI AND EPINEPHRINE WITH EPINEPHRINE

LIDOCAINE HCI AND EPINEPHRINE WITH EPINEPHRINE

Medicare Part D

PRECEDEX

DEXMEDETOMIDINE HYDROCHLORIDE

Medicare Part D

Lidocan III

Lidocaine 5%

Medicare Part D

Se-Natal 19

.beta.-carotene, ascorbic acid, cholecalciferol, .alpha.-tocopherol acetate, dl-, thiamine, riboflavin, niacinamide, pyridoxine hydrochloride, folic acid, cyanocobalamin, calcium pantothenate, calcium carbonate, ferrous fumarate, zinc oxide and docusate sodium

Medicare Part D

Spiriva Respimat

tiotropium bromide inhalation spray

Medicare Part D

Eprontia

Topiramate

Medicare Part D

VOQUEZNA

vonoprazan fumarate

Medicare Part D

Betamethasone Sodium Phosphate and Betamethasone Acetate

Betamethasone Sodium Phosphate and Betamethasone Acetate

Medicare Part D

Bupivacaine

BUPIVACAINE HYDROCHLORIDE

Medicare Part D

Hydrocodone Bitartrate

Hydrocodone Bitartrate

Medicare Part D

VELTASSA

patiromer

Medicare Part D

Yes
ELAHERE

MIRVETUXIMAB SORAVTANSINE

Medicare Part D

Strovite One Caplets

Vitamin A, Calcium Pantothenate, Ascorbic Acid, Cholecalciferol, .Alpha.-Tocopherol Succinate, D-, Thiamine, Riboflavin, Niacinamide, Pyridoxine Hydrochloride, Folic Acid, Biotin, Cyanocobalamin, Selenium, Magnesium Oxide, Zinc Oxide, Cupric Sulfate, Manganese, Chromium, .Alpha.-Lipoic Acid, and Lutein

Medicare Part D

Verapamil Hydrochloride

verapamil hydrochloride

Medicare Part D

Psorizide Ultra

Potassium Bromide, Nickel Sulfate, and Zinc Bromide

Medicare Part D

Denosumab-BMWO

denosumab-bmwo

Medicare Part D

Yes
TERUFLEX Blood Bag System with Diversion Blood Sampling Arm Anticoagulant CPD with OPTISOL Red Cell Preservative Solution for Collection of 500mL of Blood

Medicare Part D

DONEPEZIL HYDROCHLORIDE

Donepezil Hydrochloride

Medicare Part D

Fluoxetine

Fluoxetine Hydrochloride

Medicare Part D

Timolol Maleate

Timolol Maleate Ophthalmic

Medicare Part D

Toronova SUIK

Ketorolac Tromethamine

Medicare Part D

OVACE

SULFACETAMIDE SODIUM

Medicare Part D

Aflora

Multivitamin

Medicare Part D

Ascomp with Codeine

Butalbital, Aspirin, Caffeine and Codeine Phosphate

Medicare Part D

Oxygen 64889-0001

Oxygen

Medicare Part D

CARMUSTINE

Carmustine

Medicare Part D

Idacio

adalimumab-aacf

Medicare Part D

Yes
Clopidogrel Bisulfate

clopidogrel bisulfate

Medicare Part D

Apraclonidine

Apraclonidine

Medicare Part D

CNJ-016

Vaccinia Immune Globulin Intravenous (Human)

Medicare Part D

ACETIC ACID

Acetic Acid

Medicare Part D

Dorzolamide Hydrochloride Ophthalmic

Dorzolamide Hydrochloride

Medicare Part D

Lidothol ES

menthol 5%, lidocaine 4%

Medicare Part D