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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
Lidocort

LIDOCAINE HCL - HYDROCORTISONE ACETATE

Medicare Part D

Ursodiol 200 mg, Ursodiol 400 mg

Medicare Part D

Nitrofurantion Macrocrystals

Nitrofurantion Macrocrystals

Medicare Part D

Finasteride

Finasteride

Medicare Part D

SODIUM PHENYLACETATE AND SODIUM BENZOATE

sodium phenylacetate and sodium benzoate

Medicare Part D

Oxygen/Nitrogen 15/85

Oxygen/Nitrogen 15/85

Medicare Part D

Cetacaine Topical Anesthetic

Benzocaine, Butamben, and Tetracaine Hydrochloride

Medicare Part D

Trimethoprim

Trimethoprim

Medicare Part D

IFEX

ifosfamide

Medicare Part D

Adefovir dipivoxil

ADEFOVIR DIPIVOXIL

Medicare Part D

ALTAVERA

Levonorgestrel and Ethinyl Estradiol

Medicare Part D

METROGEL

metronidazole

Medicare Part D

ONDANSETRON

Ondansetron

Medicare Part D

Dificid, DIFICID

Medicare Part D

SYMPAZAN

clobazam

Medicare Part D

Denta 5000 Plus

Sodium fluoride

Medicare Part D

LAMPIT

nifurtimox

Medicare Part D

Natazia

estradiol valerate and estradiol valerate/dienogest

Medicare Part D

MYXREDLIN

insulin human

Medicare Part D

Fenovar

Diclofenac Sodium and Menthol, Methyl salicylate

Medicare Part D

VENXXIVA

tiopronin

Medicare Part D

NephroScan

SUCCIMER

Medicare Part D

EVEROLIMUS

Everolimus

Medicare Part D

LEVOXYL

levothyroxine sodium

Medicare Part D

Brinsupri

Brensocatib

Medicare Part D

Fluticasone Furoate Ellipta

fluticasone furoate

Medicare Part D

Cefoxitin

Cefoxitin

Medicare Part D

PROCTOFOAM HC

pramoxine hydrochloride hydrocortisone acetate

Medicare Part D

Polyethylene Glycol 3350, Sodium Chloride, Sodium Bicarbonate and Potassium Chloride - Unflavored, Polyethylene Glycol 3350, Sodium Chloride, Sodium Bicarbonate and Potassium Chloride with Lemon Flavor, Polyethylene Glycol 3350, Sodium Chloride, Sodium Bicarbonate and Potassium Chloride with Orange Flavor

Medicare Part D

Nitrofurantion

Nitrofurantion

Medicare Part D

Paclitaxel Protein-Bound Particles for Injectable Suspension (Albumin-Bound)

Paclitaxel

Medicare Part D

Avar-e

SULFACETAMIDE SODIUM, SULFUR

Medicare Part D

PERMETHRIN

PERMETHRIN

Medicare Part D

PACLITAXEL PACLITAXEL

paclitaxel

Medicare Part D

PULMICORT RESPULES

Budesonide

Medicare Part D

Amitza

Lubiprostone

Medicare Part D

Exondys 51

eteplirsen

Medicare Part D

EGRIFTA WR

tesamorelin

Medicare Part D

Yes
XYLOCAINE(R) -MPF (LIDOCAINE HCI AND EPINEPHRINE)

XYLOCAINE-MPF WITH EPI

Medicare Part D

Metformin ER 500 mg, Metformin ER 750 mg

Medicare Part D

RIZATRIPTAN BENZOATE

Rizatriptan Benzoate

Medicare Part D

HYDRALAZINE HYDROCHLORIDE

Hydralazine Hydrochloride

Medicare Part D

PAPAVERINE HYDROCHLORIDE

Papaverine Hydrochloride

Medicare Part D

Dexmedetomidine Hydrochloride in Sodium Chloride

Dexmedetomidine Hydrochloride in Sodium Chloride

Medicare Part D

Hextend

HETASTARCH

Medicare Part D

EMBLAVEO

aztreonam and avibactam

Medicare Part D

ADDYI

flibanserin

Medicare Part D

Twirla

levonorgestrel/ethinyl estradiol

Medicare Part D

SIMPONI ARIA

golimumab

Medicare Part D

Yes
Corvert

ibutilide fumarate

Medicare Part D