| UnitedHealthcare | 731 | 0 | No prior authorization |
| Centene (WellCare) | 163 | 0 | No prior authorization |
| SCAN Health Plan | 74 | 0 | No prior authorization |
| Blue Cross Blue Shield (affiliate) | 53 | 0 | No prior authorization |
| Simply Healthcare Plans, INC. | 50 | 0 | No prior authorization |
| Uhc Of California | 40 | 0 | No prior authorization |
| Preferred Care Partners, INC. | 35 | 0 | No prior authorization |
| Solis Health Plans, INC. | 24 | 0 | No prior authorization |
| Sunshine State Health Plan, INC. | 24 | 0 | No prior authorization |
| Freedom Health, INC. | 24 | 0 | No prior authorization |
| Capital Advantage Insurance Company | 23 | 0 | No prior authorization |
| Triple S Advantage, INC. | 22 | 22 | Prior authorization required |
| Physicians Health Choice Of Texas, LLC | 22 | 0 | No prior authorization |
| Mmm Healthcare, LLC | 20 | 0 | No prior authorization |
| Mcs Advantage, INC. | 20 | 0 | No prior authorization |
| Health Care Service Corporation | 19 | 0 | No prior authorization |
| Harmony Health Plan, INC. | 19 | 0 | No prior authorization |
| Medica Health Plans | 17 | 0 | No prior authorization |
| 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 |
| Optimum Healthcare, INC. | 15 | 0 | No prior authorization |
| Peoples Health, INC. | 13 | 0 | No prior authorization |
| Healthsun Health Plans, INC. | 13 | 0 | No prior authorization |
| Prominence Healthfirst Of Texas | 13 | 0 | No prior authorization |
| HMO Louisiana, INC. | 12 | 0 | No prior authorization |
| Hcsc Insurance Services Company | 11 | 0 | No prior authorization |
| Aetna (CVS Health) | 10 | 0 | No prior authorization |
| Doctors Healthcare Plans, INC. | 9 | 0 | No prior authorization |
| New York Quality Healthcare Corporation | 9 | 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 |
| Keystone Health Plan East, INC. | 8 | 0 | No prior authorization |
| Network Health Insurance Corporation | 8 | 0 | No prior authorization |
| Prominence Healthfirst | 8 | 0 | No prior authorization |
| Health Alliance Plan Of Michigan | 7 | 0 | No prior authorization |
| Medica Insurance Company | 7 | 0 | No prior authorization |
| Summacare INC. | 7 | 0 | No prior authorization |
| Keystone Health Plan Central, INC. | 7 | 0 | No prior authorization |
| Essence Healthcare PPO, INC. | 7 | 0 | No prior authorization |
| Buckeye Community Health Plan, INC. | 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 |
| Presbyterian Health Plan | 6 | 0 | No prior authorization |
| Preferred Care Network, 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 |
| Alliance Health And Life Insurance Company | 5 | 0 | No prior authorization |
| Independent Health Association, INC. | 5 | 0 | No prior authorization |
| Coordinated Care Corporation | 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 |
| Prominence Healthfirst Of Florida INC | 5 | 0 | No prior authorization |
| Arkansas Health & Wellness Health Plan, 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 |
| Pennsylvania Health & Wellness, INC. | 4 | 0 | No prior authorization |
| Sapphire Edge, INC. | 4 | 0 | No prior authorization |
| The Health Plan Of West Virginia, INC. | 4 | 0 | No prior authorization |
| Qcc Insurance Company | 4 | 0 | No prior authorization |
| Leon Health, INC. | 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 |
| Thp Insurance Company | 4 | 0 | No prior authorization |
| Louisiana Health Service & Indemnity Company | 3 | 0 | No prior authorization |
| Trillium Community Health Plan, INC. | 3 | 0 | No prior authorization |
| Capital District Physicians' Health Plan, INC. | 3 | 0 | No prior authorization |
| Celtic Insurance Company | 3 | 0 | No prior authorization |
| Amerihealth Insurance Company Of New Jersey | 3 | 0 | No prior authorization |
| Central Mass Health, LLC | 3 | 0 | No prior authorization |
| Ghs Insurance Company | 3 | 0 | No prior authorization |
| Managed Health Services Insurance CORP. | 3 | 0 | No prior authorization |
| Medco Containment Life & Medco Containment Ny & Health Care | 3 | 0 | No prior authorization |
| Hamaspik, INC. | 2 | 0 | No prior authorization |
| Arizona Physicians Ipa, INC. | 2 | 0 | No prior authorization |
| Amerihealth Caritas Vip Next, INC. | 2 | 0 | No prior authorization |
| Florida Blue Medicare, INC. | 2 | 2 | Prior authorization required |
| Village Senior Services Corporation | 2 | 0 | No prior authorization |
| South Country Health Alliance | 2 | 0 | No prior authorization |
| Vista Health Plan, INC. | 2 | 0 | No prior authorization |
| Selectcare Of Texas, INC. | 2 | 0 | No prior authorization |
| Troy Health, INC. | 2 | 0 | No prior authorization |
| Banner - University Care Advantage | 2 | 0 | No prior authorization |
| Vns Choice | 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 |
| Capital Health Plan | 2 | 0 | No prior authorization |
| Healthpartners Insurance Company | 2 | 0 | No prior authorization |
| Elderserve Health, INC. | 2 | 0 | No prior authorization |
| Excellus Health Plan Community Care LLC | 2 | 0 | No prior authorization |
| Group Health Cooperative Of Eau Claire | 2 | 0 | No prior authorization |
| Caresource Georgia CO. | 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 |
| Longevity Health Plan Of Colorado, INC. | 1 | 0 | No prior authorization |
| Longevity Health Plan Of Florida, INC. | 1 | 0 | No prior authorization |
| Community Care Health Plan, INC. | 1 | 0 | No prior authorization |
| Alameda Alliance For Health | 1 | 0 | No prior authorization |
| HMO Minnesota | 1 | 0 | No prior authorization |
| Amerihealth Caritas Louisiana, INC. | 1 | 0 | No prior authorization |
| Upper Peninsula Health Plan, LLC | 1 | 0 | No prior authorization |
| Independent Health Benefits Corporation | 1 | 0 | No prior authorization |
| Samaritan Health Plans, INC. | 1 | 0 | No prior authorization |
| Ghs Health Maintenance Organization, INC. | 1 | 0 | No prior authorization |
| Hap Caresource | 1 | 0 | No prior authorization |
| Select Health Of South Carolina, INC. | 1 | 0 | No prior authorization |
| Contra Costa County Medical Service Dba Contra Costa Health | 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 |
| Orange County Health Authority | 1 | 0 | No prior authorization |
| Banner Health Plan, INC. | 1 | 0 | No prior authorization |
| Aids Healthcare Foundation | 1 | 0 | No prior authorization |
| San Mateo Health Commission | 1 | 0 | No prior authorization |
| Amerihealth Michigan, INC. | 1 | 0 | No prior authorization |
| Amerihealth Caritas Florida, INC. | 1 | 0 | No prior authorization |
| Caresource Ohio, INC. | 1 | 0 | No prior authorization |
| Longevity Health Plan Of Michigan, INC. | 1 | 0 | No prior authorization |
| Amerihealth Caritas North Carolina, INC. | 1 | 0 | No prior authorization |
| Longevity Health Plan Of New York, 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 |
| Horizon Insurance Company | 1 | 0 | No prior authorization |