Benefily
Sign inCreate account

Does Medicare Part D cover Accutane?

Accutane appears on the Medicare Part D formularies of 238 payers in the corpus. 74 require prior authorization on every covering plan, 3 on some plans, and 161 on none.

Prior authorization is set per plan, not per payer. Pick a payer below for its full plan-by-plan breakdown, effective 2026-06-30.

Coverage by payer

PayerPlans coveringRequire prior authStatus
Humana8170No prior authorization
UnitedHealthcare731731Prior authorization required
Aetna (CVS Health)658653Varies by plan
Devoted Health415415Prior authorization required
Blue Cross Blue Shield (affiliate)269119Varies by plan
Centene (WellCare)1970No prior authorization
SCAN Health Plan740No prior authorization
Elevance Health (Anthem)672Varies by plan
Alignment Healthcare670No prior authorization
Molina Healthcare5151Prior authorization required
Simply Healthcare Plans, INC.500No prior authorization
Cariten Health Plan INC.440No prior authorization
Uhc Of California4040Prior authorization required
Careplus Health Plans, INC.360No prior authorization
Preferred Care Partners, INC.3535Prior authorization required
Zing Health Of Michigan, INC.3333Prior authorization required
Health Care Service Corporation3131Prior authorization required
Solis Health Plans, INC.2424Prior authorization required
Sunshine State Health Plan, INC.240No prior authorization
Freedom Health, INC.240No prior authorization
Capital Advantage Insurance Company2323Prior authorization required
Physicians Health Choice Of Texas, LLC2222Prior authorization required
Tufts Associated Health Maintenance Organization210No prior authorization
Mmm Healthcare, LLC200No prior authorization
Mcs Advantage, INC.200No prior authorization
Harmony Health Plan, INC.190No prior authorization
Hcsc Insurance Services Company1818Prior authorization required
California Physicians' Service170No prior authorization
Medica Health Plans170No prior authorization
Upmc Health Plan, INC.170No prior authorization
Bluecross Blueshield Of Tennessee, INC.170No prior authorization
Wellpoint Texas, INC.160No prior authorization
Medical Mutual Of Ohio160No prior authorization
Superior Healthplan, INC.150No prior authorization
Optimum Healthcare, INC.150No prior authorization
Central Health Plan Of California, INC.1515Prior authorization required
Blue Care Network Of Michigan1515Prior authorization required
Selecthealth, INC.140No prior authorization
Wellpoint Insurance Company140No prior authorization
Florida Blue Medicare, INC.1313Prior authorization required
Peoples Health, INC.1313Prior authorization required
Clover Health1313Prior authorization required
Healthsun Health Plans, INC.130No prior authorization
Prominence Healthfirst Of Texas130No prior authorization
Upmc Health Network, INC.120No prior authorization
HMO Louisiana, INC.120No prior authorization
Mount Carmel Health Plan, INC.1111Prior authorization required
Pacificsource Community Health Plans110No prior authorization
Community Insurance Company100No prior authorization
Health Insurance Plan Of Greater New York1010Prior authorization required
HMO Colorado, INC.100No prior authorization
Quartz Health Plan Corporation100No prior authorization
Compcare Health Services Insurance Corporation100No prior authorization
Sanford Health Plan90No prior authorization
Allina Health And Aetna Insurance Company99Prior authorization required
New York Quality Healthcare Corporation90No prior authorization
Wellpoint Tennessee, INC.90No prior authorization
Healthier New Jersey Insurance Company88Prior authorization required
Meridian Health Plan Of Michigan, INC.80No prior authorization
Healthpartners, INC.80No prior authorization
American Progressive Life & Hlth Ins Company Of Ny80No prior authorization
Mvp Health Plan, INC.88Prior authorization required
Network Health Insurance Corporation80No prior authorization
Prominence Healthfirst80No prior authorization
Peak Health Insurance Corporation80No prior authorization
Health Partners Plans, INC.80No prior authorization
Medco Containment Life & Medco Containment Ny & Health Care88Prior authorization required
Viva Health, INC.77Prior authorization required
Martin'S Point Generations Advantage, INC.77Prior authorization required
Wellpoint Health Plans, INC.70No prior authorization
Medica Insurance Company70No prior authorization
Summacare INC.70No prior authorization
Keystone Health Plan Central, INC.77Prior authorization required
Essence Healthcare PPO, INC.70No prior authorization
Providence Health Assurance70No prior authorization
Mass General Brigham Health Plan, INC60No prior authorization
Buckeye Community Health Plan, INC.60No prior authorization
Christus Health Plan66Prior authorization required
Nebraska Total Care, INC.60No prior authorization
Gold Kidney Of Florida INC60No prior authorization
Essence Healthcare, INC.60No prior authorization
Hometown Health Plan, INC.60No prior authorization
Presbyterian Health Plan60No prior authorization
Elderplan, INC.66Prior authorization required
Perennial Advantage Of Colorado, INC.60No prior authorization
Connecticare, INC.66Prior authorization required
Preferred Care Network, INC.66Prior authorization required
Scott And White Health Plan66Prior authorization required
Coordinated Care Of Washington, INC.50No prior authorization
Hopkins Health Advantage, INC.55Prior authorization required
Sapphire Edge, INC.55Prior authorization required
Coordinated Care Corporation50No prior authorization
Usable Mutual Insurance Company55Prior authorization required
Gold Kidney Of Arizona50No prior authorization
Meridian Health Plan Of Illinois, INC.50No prior authorization
Sunflower State Health Plan, INC.50No prior authorization
Prominence Healthfirst Of Florida INC50No prior authorization
Arkansas Health & Wellness Health Plan, INC.50No prior authorization
Hpmp Of Florida, INC.55Prior authorization required
Home State Health Plan, INC.40No prior authorization
Baylor Scott & White Insurance Company44Prior authorization required
Care N' Care Insurance Company Of North Carolina40No prior authorization
Health New England, INC.40No prior authorization
Pennsylvania Health & Wellness, INC.40No prior authorization
The Health Plan Of West Virginia, INC.40No prior authorization
Communitycare Government Programs, INC.40No prior authorization
Hawaii Medical Service Association44Prior authorization required
Keystone Health Plan East, INC.40No prior authorization
Security Health Plan Of Wisconsin, INC.40No prior authorization
Sharp Health Plan44Prior authorization required
Gateway Health Plan, INC.40No prior authorization
Capital Health Plan44Prior authorization required
Boston Medical Center Health Plan, INC.40No prior authorization
Bluecross Blueshield Kansas Solutions, INC.44Prior authorization required
Clever Care Of Golden State, INC.44Prior authorization required
Central Mass Health, LLC44Prior authorization required
Ghs Insurance Company44Prior authorization required
Thp Insurance Company40No prior authorization
Amh Health, LLC40No prior authorization
Dean Health Plan, INC.40No prior authorization
Quartz Health Plan Mn Corporation40No prior authorization
Medisun, INC.30No prior authorization
Metroplus Health Plan, INC.33Prior authorization required
Wellpoint West Virginia , INC.30No prior authorization
Louisiana Health Service & Indemnity Company30No prior authorization
Eternalhealth, INC.30No prior authorization
Patrius Health, INC.33Prior authorization required
Marquis Advantage, INC.30No prior authorization
Partners Insurance Company INC30No prior authorization
Mount Carmel Health Insurance Company33Prior authorization required
Community Care Health Plan Of Louisiana, INC.30No prior authorization
Trillium Community Health Plan, INC.30No prior authorization
Senior Whole Health, LLC33Prior authorization required
Secur INC30No prior authorization
Wellpoint New Jersey, INC.30No prior authorization
Volunteer State Health Plan30No prior authorization
Align Senior Care California INC.30No prior authorization
Pruitthealth Premier, INC.30No prior authorization
Procare Advantage, LLC30No prior authorization
Eternalhealth Of Arizona INC30No prior authorization
Paramount Care, INC.33Prior authorization required
Aultcare Health Insuring Corporation30No prior authorization
Mount Carmel Health Plan Of Idaho, INC.33Prior authorization required
Simpra Advantage, INC.30No prior authorization
Celtic Insurance Company30No prior authorization
Mercy Care33Prior authorization required
Usable HMO, INC.33Prior authorization required
Liberty Advantage, LLC30No prior authorization
Bluecross And Blueshield Of South Carolina30No prior authorization
Managed Health Services Insurance CORP.30No prior authorization
Perennial Advantage Of Ohio, INC.30No prior authorization
Hamaspik, INC.22Prior authorization required
Arizona Physicians Ipa, INC.22Prior authorization required
Carepartners Of Connecticut, INC.20No prior authorization
Beshp, INC.20No prior authorization
Wellpoint Iowa, INC.20No prior authorization
Commonwealth Care Alliance, INC.22Prior authorization required
Wellpoint Washington, INC.20No prior authorization
Neighborhood Health Plan Of Rhode Island22Prior authorization required
Village Senior Services Corporation20No prior authorization
Lifeworks Advantage, LLC20No prior authorization
Kansas Superior Select, INC.20No prior authorization
Sentara Health Plans20No prior authorization
Partners Insurance Company Of New Jersey INC20No prior authorization
Sanford Health Plan Of Minnesota20No prior authorization
Qcc Insurance Company20No prior authorization
Nhc Advantage, LLC20No prior authorization
American Health Plan Of Ut, INC.20No prior authorization
Upmc For You, INC20No prior authorization
American Health Plan Of Missouri, INC.20No prior authorization
Selectcare Of Texas, INC.20No prior authorization
Banner - University Care Advantage20No prior authorization
Tufts Health Public Plans, INC.20No prior authorization
Vns Choice20No prior authorization
Bridgeway Health Solutions Of Arizona, INC.20No prior authorization
Community Health Plan Of Washington20No prior authorization
Senior Whole Health Of New York, INC.22Prior authorization required
Nextblue Of North Dakota Insurance Company22Prior authorization required
Healthpartners Insurance Company20No prior authorization
Missouri Care, Incorporated20No prior authorization
Pruitthealth Premier North Carolina, LLC20No prior authorization
American Health Plan Of Iowa INC20No prior authorization
Elderserve Health, INC.20No prior authorization
Align Senior Care Mi, LLC20No prior authorization
Isnp Ventures, LLC20No prior authorization
Memorial Hermann Health Plan22Prior authorization required
Good Samaritan Insurance Plan Of Nebraska, INC.20No prior authorization
Group Health Cooperative Of Eau Claire20No prior authorization
Georgia Assurance, INC.20No prior authorization
Caresource Georgia CO.20No prior authorization
Trinity Health Plan Of Michigan INC22Prior authorization required
Wyoblue Advantage INC22Prior authorization required
Community Health Choice Texas, INC.20No prior authorization
Mount Carmel Health Plan Of New York, INC.22Prior authorization required
Align Senior Care Florida, INC.20No prior authorization
Longevity Health Plan Of New Jersey Insurance Comp20No prior authorization
Hm Health Insurance Company20No prior authorization
Horizon Insurance Company22Prior authorization required
Longevity Health Plan Of Colorado, INC.10No prior authorization
Local Initiative Health Authority For La County10No prior authorization
Johns Hopkins Health Plan Of Virginia, INC.11Prior authorization required
Longevity Health Plan Of Florida, INC.10No prior authorization
Independent Care Health Plan10No prior authorization
Itasca Medical Care11Prior authorization required
HMO Minnesota11Prior authorization required
Wellpoint South Carolina, INC.10No prior authorization
Upper Peninsula Health Plan, LLC10No prior authorization
Connecticare Insurance Company, INC.11Prior authorization required
Oklahoma Superior Select, INC.10No prior authorization
Samaritan Health Plans, INC.10No prior authorization
Ghs Health Maintenance Organization, INC.11Prior authorization required
Hap Caresource10No prior authorization
Paramount Insurance Company11Prior authorization required
Absolute Total Care, INC.10No prior authorization
Longevity Health Plan Of North Carolina, INC.10No prior authorization
Orange County Health Authority11Prior authorization required
Health Choice Arizona, INC.11Prior authorization required
Banner Health Plan, INC.10No prior authorization
Aids Healthcare Foundation10No prior authorization
Health Plan Of Careoregon, INC.11Prior authorization required
San Mateo Health Commission10No prior authorization
Caresource Ohio, INC.10No prior authorization
Lagniappe Advantage Insurance Company10No prior authorization
American Health Plan Of Fl, INC.10No prior authorization
Upmc Health Coverage, INC.10No prior authorization
Longevity Health Plan Of Michigan, INC.10No prior authorization
American Health Plan, INC.10No prior authorization
Horizon Healthcare Of New Jersey, INC.11Prior authorization required
Longevity Health Plan Of New York, INC.10No prior authorization
Hawaii Medical Service Association (Hmsa)11Prior authorization required
Dignity Care Corporation10No prior authorization
Healthy Mississippi, INC.10No prior authorization
Longevity Health Plan Of Illinois, INC.10No prior authorization
Ventura County Medi-Cal Managed Care Commission11Prior authorization required
Healthfirst Insurance Company, INC.11Prior authorization required
American Health Plan Of Indiana INC10No prior authorization
American Health Plan Of Ms, INC.10No prior authorization
American Health Plan Of Pennsylvania INC10No prior authorization

“Require prior auth” counts a plan when any Accutane product on its formulary needs authorization.

Source
Monthly Prescription Drug Plan Formulary and Pharmacy Network Information — Basic Drugs Formulary File
Effective
2026-06-30
Retrieved
2026-07-19
SHA-256
e626e6bcda1aa6a0071e6f0df6bafe686ae41842cdf0a9feffdc649b6d3ff3ae

We publish the hash of the exact file we ingested so any answer can be audited against the bytes CMS served that day.

Administrative information only. Benefily reports what a payer has published in its own prior-authorization policy as of the effective date shown. It is not medical advice, not a coverage or payment guarantee, and not an authorization. Requirements vary by plan, place of service and member benefits — always verify with the payer before rendering service.