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Does Medicare Part D cover Teflaro?

Teflaro appears on the Medicare Part D formularies of 186 payers in the corpus. 31 require prior authorization on every covering plan, 0 on some plans, and 155 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
UnitedHealthcare7310No prior authorization
Aetna (CVS Health)6530No prior authorization
Devoted Health4150No prior authorization
Centene (WellCare)1970No prior authorization
Cigna171171Prior authorization required
Blue Cross Blue Shield (affiliate)1190No prior authorization
Kaiser Permanente1150No prior authorization
SCAN Health Plan740No prior authorization
Alignment Healthcare670No prior authorization
Medco Containment Life And Medco Containment Ny6060Prior authorization required
Molina Healthcare510No prior authorization
Cariten Health Plan INC.440No prior authorization
Uhc Of California400No prior authorization
Careplus Health Plans, INC.360No prior authorization
Bravo Health Pennsylvania, INC.3535Prior authorization required
Preferred Care Partners, INC.350No prior authorization
Zing Health Of Michigan, INC.330No prior authorization
Health Care Service Corporation310No prior authorization
Solis Health Plans, INC.240No prior authorization
Sunshine State Health Plan, INC.240No prior authorization
Capital Advantage Insurance Company230No prior authorization
Triple S Advantage, INC.2222Prior authorization required
Physicians Health Choice Of Texas, LLC220No prior authorization
Tufts Associated Health Maintenance Organization210No prior authorization
Harmony Health Plan, INC.190No prior authorization
Hcsc Insurance Services Company180No prior authorization
Medica Health Plans1717Prior authorization required
Bluecross Blueshield Of Tennessee, INC.170No prior authorization
Ultimate Health Plans, INC.160No prior authorization
Excellus Health Plan, INC.160No prior authorization
Medical Mutual Of Ohio1616Prior authorization required
Superior Healthplan, INC.150No prior authorization
Florida Blue Medicare, INC.150No prior authorization
Central Health Plan Of California, INC.150No prior authorization
Blue Care Network Of Michigan150No prior authorization
Selecthealth, INC.140No prior authorization
Peoples Health, INC.130No prior authorization
Clover Health130No prior authorization
HMO Louisiana, INC.1212Prior authorization required
Mount Carmel Health Plan, INC.110No prior authorization
Health Insurance Plan Of Greater New York100No prior authorization
Sanford Health Plan90No prior authorization
Allina Health And Aetna Insurance Company90No prior authorization
New York Quality Healthcare Corporation90No prior authorization
Healthier New Jersey Insurance Company80No prior authorization
Meridian Health Plan Of Michigan, INC.80No prior authorization
American Progressive Life & Hlth Ins Company Of Ny80No prior authorization
Mvp Health Plan, INC.80No prior authorization
Keystone Health Plan East, INC.80No prior authorization
Health Partners Plans, INC.80No prior authorization
Medco Containment Life & Medco Containment Ny & Health Care80No prior authorization
Viva Health, INC.70No prior authorization
Martin'S Point Generations Advantage, INC.70No prior authorization
Bravo Health Mid-Atlantic, INC.77Prior authorization required
Health Alliance Plan Of Michigan70No prior authorization
Medica Insurance Company77Prior authorization required
Keystone Health Plan Central, INC.70No prior authorization
Essence Healthcare PPO, INC.77Prior authorization required
Bluecross And Blueshield Of South Carolina70No prior authorization
Buckeye Community Health Plan, INC.60No prior authorization
Christus Health Plan60No prior authorization
Nebraska Total Care, INC.60No prior authorization
Essence Healthcare, INC.66Prior authorization required
Hometown Health Plan, INC.60No prior authorization
Elderplan, INC.60No prior authorization
Connecticare, INC.60No prior authorization
Preferred Care Network, INC.60No prior authorization
Scott And White Health Plan60No prior authorization
Coordinated Care Of Washington, INC.50No prior authorization
Hopkins Health Advantage, INC.50No prior authorization
Alliance Health And Life Insurance Company50No prior authorization
Sapphire Edge, INC.50No prior authorization
Coordinated Care Corporation50No prior authorization
Usable Mutual Insurance Company50No prior authorization
Meridian Health Plan Of Illinois, INC.50No prior authorization
Sunflower State Health Plan, INC.50No prior authorization
Arkansas Health & Wellness Health Plan, INC.50No prior authorization
Hpmp Of Florida, INC.50No prior authorization
Home State Health Plan, INC.40No prior authorization
Baylor Scott & White Insurance Company40No prior authorization
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.44Prior authorization required
Hawaii Medical Service Association40No prior authorization
Qcc Insurance Company40No prior authorization
Security Health Plan Of Wisconsin, INC.40No prior authorization
Sharp Health Plan40No prior authorization
Capital Health Plan40No prior authorization
Boston Medical Center Health Plan, INC.44Prior authorization required
Bluecross Blueshield Kansas Solutions, INC.40No prior authorization
Clever Care Of Golden State, INC.40No prior authorization
Central Mass Health, LLC40No prior authorization
Ghs Insurance Company40No prior authorization
Thp Insurance Company44Prior authorization required
Medisun, INC.30No prior authorization
Metroplus Health Plan, INC.30No prior authorization
Louisiana Health Service & Indemnity Company33Prior authorization required
Eternalhealth, INC.30No prior authorization
Patrius Health, INC.30No prior authorization
Partners Insurance Company INC30No prior authorization
Mount Carmel Health Insurance Company30No prior authorization
Trillium Community Health Plan, INC.30No prior authorization
Senior Whole Health, LLC30No prior authorization
Volunteer State Health Plan30No prior authorization
Capital District Physicians' Health Plan, INC.30No prior authorization
Eternalhealth Of Arizona INC30No prior authorization
Paramount Care, INC.30No prior authorization
Mount Carmel Health Plan Of Idaho, INC.30No prior authorization
Provider Partners Health Plan Of Pennsylvania, INC30No prior authorization
Provider Partners Health Plan Of North Carolina30No prior authorization
Provider Partners Health Plan Of Indiana30No prior authorization
Celtic Insurance Company30No prior authorization
Amerihealth Insurance Company Of New Jersey30No prior authorization
Mercy Care30No prior authorization
Usable HMO, INC.30No prior authorization
Managed Health Services Insurance CORP.30No prior authorization
Provider Partners Health Plan Of Missouri, INC.30No prior authorization
Hamaspik, INC.20No prior authorization
Arizona Physicians Ipa, INC.20No prior authorization
Carepartners Of Connecticut, INC.20No prior authorization
Amerihealth Caritas Vip Next, INC.20No prior authorization
Beshp, INC.20No prior authorization
Commonwealth Care Alliance, INC.20No prior authorization
Neighborhood Health Plan Of Rhode Island20No prior authorization
South Country Health Alliance20No prior authorization
Partners Insurance Company Of New Jersey INC20No prior authorization
Sanford Health Plan Of Minnesota20No prior authorization
Vista Health Plan, INC.20No prior authorization
Selectcare Of Texas, INC.20No prior authorization
Troy Health, INC.20No prior authorization
Banner - University Care Advantage22Prior authorization required
Tufts Health Public Plans, INC.20No prior authorization
Bridgeway Health Solutions Of Arizona, INC.20No prior authorization
Community Health Plan Of Washington22Prior authorization required
Senior Whole Health Of New York, INC.20No prior authorization
Nextblue Of North Dakota Insurance Company20No prior authorization
Elderserve Health, INC.22Prior authorization required
Memorial Hermann Health Plan20No prior authorization
Good Samaritan Insurance Plan Of Nebraska, INC.20No prior authorization
Excellus Health Plan Community Care LLC20No prior authorization
Group Health Cooperative Of Eau Claire22Prior authorization required
Caresource Georgia CO.22Prior authorization required
Trinity Health Plan Of Michigan INC20No prior authorization
Wyoblue Advantage INC20No prior authorization
Mount Carmel Health Plan Of New York, INC.20No prior authorization
Longevity Health Plan Of New Jersey Insurance Comp22Prior authorization required
Elevance Health (Anthem)20No prior authorization
Horizon Insurance Company20No prior authorization
Longevity Health Plan Of Colorado, INC.11Prior authorization required
Johns Hopkins Health Plan Of Virginia, INC.10No prior authorization
Longevity Health Plan Of Florida, INC.11Prior authorization required
Community Care Health Plan, INC.10No prior authorization
Alameda Alliance For Health10No prior authorization
Independent Care Health Plan10No prior authorization
Itasca Medical Care10No prior authorization
HMO Minnesota10No prior authorization
Amerihealth Caritas Louisiana, INC.10No prior authorization
Upper Peninsula Health Plan, LLC11Prior authorization required
Connecticare Insurance Company, INC.10No prior authorization
Provider Partners Health Plan Of Illinois10No prior authorization
Ghs Health Maintenance Organization, INC.10No prior authorization
Provider Partners Health Plan Of Texas, INC.10No prior authorization
Hap Caresource11Prior authorization required
Select Health Of South Carolina, INC.10No prior authorization
Contra Costa County Medical Service Dba Contra Costa Health10No prior authorization
Paramount Insurance Company10No prior authorization
Absolute Total Care, INC.10No prior authorization
Longevity Health Plan Of North Carolina, INC.11Prior authorization required
Health Choice Arizona, INC.10No prior authorization
Banner Health Plan, INC.11Prior authorization required
Alohacare10No prior authorization
Amerihealth Michigan, INC.10No prior authorization
Amerihealth Caritas Florida, INC.10No prior authorization
Caresource Ohio, INC.11Prior authorization required
Provider Partners Health Plan Of Kentucky10No prior authorization
Longevity Health Plan Of Michigan, INC.11Prior authorization required
Amerihealth Caritas North Carolina, INC.10No prior authorization
Horizon Healthcare Of New Jersey, INC.10No prior authorization
Longevity Health Plan Of New York, INC.11Prior authorization required
Hawaii Medical Service Association (Hmsa)10No prior authorization
Healthy Mississippi, INC.10No prior authorization
Longevity Health Plan Of Illinois, INC.11Prior authorization required
Ventura County Medi-Cal Managed Care Commission10No prior authorization
Healthfirst Insurance Company, INC.10No prior authorization

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