Does Medicare Part D cover Dotti, and does it require prior authorization?

Does Medicare Part D cover Dotti?

Dotti appears on the Medicare Part D formularies of 205 payers in the corpus. 18 require prior authorization on every covering plan, 2 on some plans, and 185 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

Payer	Plans covering	Require prior auth	Status
Aetna (CVS Health)	647	0	No prior authorization
Devoted Health	415	0	No prior authorization
Centene (WellCare)	197	0	No prior authorization
Cigna	171	0	No prior authorization
Blue Cross Blue Shield (affiliate)	151	51	Varies by plan
Elevance Health (Anthem)	67	65	Varies by plan
Alignment Healthcare	67	0	No prior authorization
Medco Containment Life And Medco Containment Ny	60	0	No prior authorization
Molina Healthcare	51	0	No prior authorization
Priority Health	37	0	No prior authorization
Bravo Health Pennsylvania, INC.	35	0	No prior authorization
Zing Health Of Michigan, INC.	33	0	No prior authorization
Health Care Service Corporation	31	0	No prior authorization
Solis Health Plans, INC.	24	0	No prior authorization
Sunshine State Health Plan, INC.	24	0	No prior authorization
Harmony Health Plan, INC.	19	0	No prior authorization
Hcsc Insurance Services Company	18	0	No prior authorization
California Physicians' Service	17	0	No prior authorization
Upmc Health Plan, INC.	17	0	No prior authorization
Bluecross Blueshield Of Tennessee, INC.	17	0	No prior authorization
Wellpoint Texas, INC.	16	16	Prior authorization required
Excellus Health Plan, INC.	16	0	No prior authorization
Medical Mutual Of Ohio	16	0	No prior authorization
Superior Healthplan, INC.	15	0	No prior authorization
Central Health Plan Of California, INC.	15	0	No prior authorization
Selecthealth, INC.	14	0	No prior authorization
Wellpoint Insurance Company	14	14	Prior authorization required
Clover Health	13	0	No prior authorization
Upmc Health Network, INC.	12	0	No prior authorization
HMO Louisiana, INC.	12	0	No prior authorization
Mount Carmel Health Plan, INC.	11	0	No prior authorization
Community Insurance Company	10	10	Prior authorization required
Health Insurance Plan Of Greater New York	10	0	No prior authorization
HMO Colorado, INC.	10	10	Prior authorization required
Compcare Health Services Insurance Corporation	10	10	Prior authorization required
Sanford Health Plan	9	0	No prior authorization
Allina Health And Aetna Insurance Company	9	0	No prior authorization
New York Quality Healthcare Corporation	9	0	No prior authorization
Wellpoint Tennessee, INC.	9	9	Prior authorization required
Healthier New Jersey Insurance Company	8	0	No prior authorization
Meridian Health Plan Of Michigan, INC.	8	0	No prior authorization
Healthpartners, INC.	8	0	No prior authorization
American Progressive Life & Hlth Ins Company Of Ny	8	0	No prior authorization
Mvp Health Plan, INC.	8	0	No prior authorization
Keystone Health Plan East, INC.	8	8	Prior authorization required
Network Health Insurance Corporation	8	0	No prior authorization
Fallon Community Health Plan	8	0	No prior authorization
Peak Health Insurance Corporation	8	0	No prior authorization
Medco Containment Life & Medco Containment Ny & Health Care	8	0	No prior authorization
Viva Health, INC.	7	0	No prior authorization
Martin'S Point Generations Advantage, INC.	7	0	No prior authorization
Wellpoint Health Plans, INC.	7	7	Prior authorization required
Bravo Health Mid-Atlantic, INC.	7	0	No prior authorization
Health Alliance Plan Of Michigan	7	0	No prior authorization
Summacare INC.	7	0	No prior authorization
Essence Healthcare PPO, INC.	7	0	No prior authorization
Bluecross And Blueshield Of South Carolina	7	0	No prior authorization
Providence Health Assurance	7	0	No prior authorization
Buckeye Community Health Plan, INC.	6	0	No prior authorization
Christus Health Plan	6	0	No prior authorization
Nebraska Total Care, INC.	6	0	No prior authorization
Gold Kidney Of Florida INC	6	0	No prior authorization
Essence Healthcare, INC.	6	0	No prior authorization
Hometown Health Plan, INC.	6	0	No prior authorization
Elderplan, INC.	6	0	No prior authorization
Perennial Advantage Of Colorado, INC.	6	0	No prior authorization
Connecticare, INC.	6	0	No prior authorization
Scott And White Health Plan	6	0	No prior authorization
Coordinated Care Of Washington, INC.	5	0	No prior authorization
Hopkins Health Advantage, INC.	5	0	No prior authorization
Alliance Health And Life Insurance Company	5	0	No prior authorization
Sapphire Edge, INC.	5	0	No prior authorization
Coordinated Care Corporation	5	0	No prior authorization
Usable Mutual Insurance Company	5	0	No prior authorization
Gold Kidney Of Arizona	5	0	No prior authorization
Meridian Health Plan Of Illinois, INC.	5	0	No prior authorization
Sunflower State Health Plan, INC.	5	0	No prior authorization
Priority Health Choice, INC.	5	0	No prior authorization
Arkansas Health & Wellness Health Plan, INC.	5	0	No prior authorization
Hpmp Of Florida, INC.	5	0	No prior authorization
Home State Health Plan, INC.	4	0	No prior authorization
Baylor Scott & White Insurance Company	4	0	No prior authorization
Care N' Care Insurance Company Of North Carolina	4	0	No prior authorization
Health New England, INC.	4	0	No prior authorization
Pennsylvania Health & Wellness, INC.	4	0	No prior authorization
The Health Plan Of West Virginia, INC.	4	0	No prior authorization
Communitycare Government Programs, INC.	4	0	No prior authorization
Hawaii Medical Service Association	4	0	No prior authorization
Qcc Insurance Company	4	4	Prior authorization required
Security Health Plan Of Wisconsin, INC.	4	0	No prior authorization
Sharp Health Plan	4	0	No prior authorization
Capital Health Plan	4	0	No prior authorization
Boston Medical Center Health Plan, INC.	4	0	No prior authorization
Bluecross Blueshield Kansas Solutions, INC.	4	0	No prior authorization
Clever Care Of Golden State, INC.	4	0	No prior authorization
Central Mass Health, LLC	4	0	No prior authorization
Ghs Insurance Company	4	0	No prior authorization
Thp Insurance Company	4	0	No prior authorization
Amh Health, LLC	4	4	Prior authorization required
Dean Health Plan, INC.	4	0	No prior authorization
Health Partners Plans, INC.	4	0	No prior authorization
Medisun, INC.	3	0	No prior authorization
Metroplus Health Plan, INC.	3	0	No prior authorization
Wellpoint West Virginia , INC.	3	3	Prior authorization required
Louisiana Health Service & Indemnity Company	3	0	No prior authorization
Eternalhealth, INC.	3	0	No prior authorization
Patrius Health, INC.	3	0	No prior authorization
Marquis Advantage, INC.	3	0	No prior authorization
Mount Carmel Health Insurance Company	3	0	No prior authorization
Community Care Health Plan Of Louisiana, INC.	3	3	Prior authorization required
Trillium Community Health Plan, INC.	3	0	No prior authorization
Senior Whole Health, LLC	3	0	No prior authorization
Secur INC	3	0	No prior authorization
Wellpoint New Jersey, INC.	3	3	Prior authorization required
Volunteer State Health Plan	3	0	No prior authorization
Align Senior Care California INC.	3	0	No prior authorization
Pruitthealth Premier, INC.	3	0	No prior authorization
Procare Advantage, LLC	3	0	No prior authorization
Eternalhealth Of Arizona INC	3	0	No prior authorization
Paramount Care, INC.	3	0	No prior authorization
Mount Carmel Health Plan Of Idaho, INC.	3	0	No prior authorization
Simpra Advantage, INC.	3	0	No prior authorization
Celtic Insurance Company	3	0	No prior authorization
Amerihealth Insurance Company Of New Jersey	3	3	Prior authorization required
Mercy Care	3	0	No prior authorization
Usable HMO, INC.	3	0	No prior authorization
Liberty Advantage, LLC	3	0	No prior authorization
Managed Health Services Insurance CORP.	3	0	No prior authorization
Perennial Advantage Of Ohio, INC.	3	0	No prior authorization
Hamaspik, INC.	2	0	No prior authorization
Beshp, INC.	2	0	No prior authorization
Wellpoint Iowa, INC.	2	2	Prior authorization required
Commonwealth Care Alliance, INC.	2	0	No prior authorization
Partners Insurance Company INC	2	0	No prior authorization
Wellpoint Washington, INC.	2	2	Prior authorization required
Lifeworks Advantage, LLC	2	0	No prior authorization
Kansas Superior Select, INC.	2	0	No prior authorization
Sentara Health Plans	2	0	No prior authorization
Sanford Health Plan Of Minnesota	2	0	No prior authorization
Capital Advantage Insurance Company	2	0	No prior authorization
Keystone Health Plan Central, INC.	2	0	No prior authorization
American Health Plan Of Ut, INC.	2	0	No prior authorization
Upmc For You, INC	2	0	No prior authorization
American Health Plan Of Missouri, INC.	2	0	No prior authorization
Selectcare Of Texas, INC.	2	0	No prior authorization
Bridgeway Health Solutions Of Arizona, INC.	2	0	No prior authorization
Community Health Plan Of Washington	2	0	No prior authorization
Senior Whole Health Of New York, INC.	2	0	No prior authorization
Healthpartners Insurance Company	2	0	No prior authorization
Missouri Care, Incorporated	2	2	Prior authorization required
Pruitthealth Premier North Carolina, LLC	2	0	No prior authorization
American Health Plan Of Iowa INC	2	0	No prior authorization
Elderserve Health, INC.	2	0	No prior authorization
Align Senior Care Mi, LLC	2	0	No prior authorization
Isnp Ventures, LLC	2	0	No prior authorization
Memorial Hermann Health Plan	2	0	No prior authorization
Good Samaritan Insurance Plan Of Nebraska, INC.	2	0	No prior authorization
Excellus Health Plan Community Care LLC	2	0	No prior authorization
Georgia Assurance, INC.	2	0	No prior authorization
Caresource Georgia CO.	2	0	No prior authorization
Trinity Health Plan Of Michigan INC	2	0	No prior authorization
Community Health Choice Texas, INC.	2	0	No prior authorization
Mount Carmel Health Plan Of New York, INC.	2	0	No prior authorization
Align Senior Care Florida, INC.	2	0	No prior authorization
Longevity Health Plan Of New Jersey Insurance Comp	2	0	No prior authorization
Hm Health Insurance Company	2	0	No prior authorization
Horizon Insurance Company	2	0	No prior authorization
Longevity Health Plan Of Colorado, INC.	1	0	No prior authorization
Local Initiative Health Authority For La County	1	0	No prior authorization
Johns Hopkins Health Plan Of Virginia, INC.	1	0	No prior authorization
Longevity Health Plan Of Florida, INC.	1	0	No prior authorization
Itasca Medical Care	1	0	No prior authorization
HMO Minnesota	1	0	No prior authorization
Wellpoint South Carolina, INC.	1	1	Prior authorization required
Partners Insurance Company Of New Jersey INC	1	0	No prior authorization
Upper Peninsula Health Plan, LLC	1	0	No prior authorization
Connecticare Insurance Company, INC.	1	0	No prior authorization
Oklahoma Superior Select, INC.	1	0	No prior authorization
Ghs Health Maintenance Organization, INC.	1	0	No prior authorization
Nhc Advantage, LLC	1	0	No prior authorization
Hap Caresource	1	0	No prior authorization
Paramount Insurance Company	1	0	No prior authorization
Absolute Total Care, INC.	1	0	No prior authorization
Longevity Health Plan Of North Carolina, INC.	1	0	No prior authorization
Health Choice Arizona, INC.	1	0	No prior authorization
Aids Healthcare Foundation	1	0	No prior authorization
San Mateo Health Commission	1	0	No prior authorization
Caresource Ohio, INC.	1	0	No prior authorization
Lagniappe Advantage Insurance Company	1	0	No prior authorization
American Health Plan Of Fl, INC.	1	0	No prior authorization
Upmc Health Coverage, INC.	1	0	No prior authorization
Longevity Health Plan Of Michigan, INC.	1	0	No prior authorization
Group Health Cooperative Of Eau Claire	1	0	No prior authorization
American Health Plan, INC.	1	0	No prior authorization
Horizon Healthcare Of New Jersey, INC.	1	0	No prior authorization
Longevity Health Plan Of New York, INC.	1	0	No prior authorization
Hawaii Medical Service Association (Hmsa)	1	0	No prior authorization
Dignity Care Corporation	1	0	No prior authorization
Healthy Mississippi, INC.	1	0	No prior authorization
Longevity Health Plan Of Illinois, INC.	1	0	No prior authorization
Ventura County Medi-Cal Managed Care Commission	1	0	No prior authorization
Healthfirst Insurance Company, INC.	1	0	No prior authorization
American Health Plan Of Indiana INC	1	0	No prior authorization
American Health Plan Of Ms, INC.	1	0	No prior authorization
American Health Plan Of Pennsylvania INC	1	0	No prior authorization

“Require prior auth” counts a plan when any Dotti 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.