Benefily
Sign inCreate account

Does Medicare Part D cover Trelstar?

Trelstar appears on the Medicare Part D formularies of 236 payers in the corpus. 190 require prior authorization on every covering plan, 1 on some plans, and 45 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
Humana715715Prior authorization required
Blue Cross Blue Shield (affiliate)199103Varies by plan
Cigna171171Prior authorization required
Kaiser Permanente1150No prior authorization
SCAN Health Plan7474Prior authorization required
Alignment Healthcare6767Prior authorization required
Elevance Health (Anthem)5252Prior authorization required
Simply Healthcare Plans, INC.5050Prior authorization required
Cariten Health Plan INC.4444Prior authorization required
Priority Health3737Prior authorization required
Careplus Health Plans, INC.3636Prior authorization required
Bravo Health Pennsylvania, INC.3535Prior authorization required
Health Care Service Corporation3131Prior authorization required
Solis Health Plans, INC.2424Prior authorization required
Freedom Health, INC.2424Prior authorization required
Triple S Advantage, INC.2222Prior authorization required
Mmm Healthcare, LLC2020Prior authorization required
Mcs Advantage, INC.2020Prior authorization required
Hcsc Insurance Services Company1818Prior authorization required
Medica Health Plans1717Prior authorization required
Upmc Health Plan, INC.1717Prior authorization required
Bluecross Blueshield Of Tennessee, INC.1717Prior authorization required
Wellpoint Texas, INC.1616Prior authorization required
Ultimate Health Plans, INC.1616Prior authorization required
Excellus Health Plan, INC.1616Prior authorization required
Medical Mutual Of Ohio1616Prior authorization required
Optimum Healthcare, INC.1515Prior authorization required
Selecthealth, INC.1414Prior authorization required
Wellpoint Insurance Company1414Prior authorization required
Healthsun Health Plans, INC.1313Prior authorization required
Prominence Healthfirst Of Texas130No prior authorization
Atrio Health Plans1212Prior authorization required
Upmc Health Network, INC.1212Prior authorization required
HMO Louisiana, INC.1212Prior authorization required
Pacificsource Community Health Plans1111Prior authorization required
Community Insurance Company1010Prior authorization required
Health Insurance Plan Of Greater New York1010Prior authorization required
HMO Colorado, INC.1010Prior authorization required
Quartz Health Plan Corporation1010Prior authorization required
Compcare Health Services Insurance Corporation1010Prior authorization required
Sanford Health Plan99Prior authorization required
Geisinger Health Plan90No prior authorization
Doctors Healthcare Plans, INC.99Prior authorization required
Healthier New Jersey Insurance Company88Prior authorization required
Healthpartners, INC.88Prior authorization required
Keystone Health Plan East, INC.88Prior authorization required
Network Health Insurance Corporation88Prior authorization required
Prominence Healthfirst80No prior authorization
Peak Health Insurance Corporation80No prior authorization
Wellpoint Health Plans, INC.77Prior authorization required
Astiva Health, INC.77Prior authorization required
Bravo Health Mid-Atlantic, INC.77Prior authorization required
Health Alliance Plan Of Michigan77Prior authorization required
Medica Insurance Company77Prior authorization required
Summacare INC.77Prior authorization required
Champion Health Plan Of California INC77Prior authorization required
Essence Healthcare PPO, INC.77Prior authorization required
Champion Health Plan Of Nevada, INC.77Prior authorization required
Bluecross And Blueshield Of South Carolina77Prior authorization required
Alterwood Advantage, INC.77Prior authorization required
Mass General Brigham Health Plan, INC66Prior authorization required
Gold Kidney Of Florida INC66Prior authorization required
Essence Healthcare, INC.66Prior authorization required
Hometown Health Plan, INC.66Prior authorization required
Perennial Advantage Of Colorado, INC.60No prior authorization
Globalhealth, INC.66Prior authorization required
Scott And White Health Plan66Prior authorization required
Chinese Community Health Plan55Prior authorization required
Alliance Health And Life Insurance Company55Prior authorization required
Sapphire Edge, INC.55Prior authorization required
Independent Health Association, INC.50No prior authorization
Aetna (CVS Health)50No prior authorization
Oh Chs Snp INC.55Prior authorization required
Gold Kidney Of Arizona55Prior authorization required
Wellpoint Tennessee, INC.55Prior authorization required
Prominence Healthfirst Of Florida INC50No prior authorization
Priority Health Choice, INC.55Prior authorization required
Baylor Scott & White Insurance Company44Prior authorization required
Care N' Care Insurance Company Of North Carolina44Prior authorization required
The Health Plan Of West Virginia, INC.44Prior authorization required
Communitycare Government Programs, INC.40No prior authorization
Qcc Insurance Company44Prior authorization required
Leon Health, INC.44Prior authorization required
Verda Health Plan Of Texas INC44Prior authorization required
Security Health Plan Of Wisconsin, INC.44Prior authorization required
Gateway Health Plan, INC.44Prior authorization required
Capital Health Plan44Prior authorization required
Boston Medical Center Health Plan, INC.44Prior authorization required
Bluecross Blueshield Kansas Solutions, INC.44Prior authorization required
Ghs Insurance Company44Prior authorization required
Thp Insurance Company44Prior authorization required
Aspire Health Plan44Prior authorization required
Amh Health, LLC44Prior authorization required
Dean Health Plan, INC.40No prior authorization
Health Partners Plans, INC.44Prior authorization required
Quartz Health Plan Mn Corporation44Prior authorization required
Medisun, INC.33Prior authorization required
Louisiana Health Service & Indemnity Company33Prior authorization required
Eternalhealth, INC.33Prior authorization required
Patrius Health, INC.33Prior authorization required
Marquis Advantage, INC.30No prior authorization
Community Care Health Plan Of Louisiana, INC.33Prior authorization required
Village Senior Services Corporation33Prior authorization required
Baycare Select Health Plans, INC.33Prior authorization required
Cox Health Systems HMO INC33Prior authorization required
Secur INC33Prior authorization required
Wellpoint New Jersey, INC.33Prior authorization required
Volunteer State Health Plan33Prior authorization required
Align Senior Care California INC.30No prior authorization
Pruitthealth Premier, INC.30No prior authorization
Capital District Physicians' Health Plan, INC.33Prior authorization required
Procare Advantage, LLC30No prior authorization
Eternalhealth Of Arizona INC33Prior authorization required
Aultcare Health Insuring Corporation30No prior authorization
Geisinger Indemnity Insurance Company30No prior authorization
Simpra Advantage, INC.30No prior authorization
Provider Partners Health Plan Of Pennsylvania, INC33Prior authorization required
Provider Partners Health Plan Of North Carolina33Prior authorization required
Provider Partners Health Plan Of Indiana33Prior authorization required
Amerihealth Insurance Company Of New Jersey33Prior authorization required
Vns Choice33Prior authorization required
Mclaren Health Plan, INC.33Prior authorization required
Liberty Advantage, LLC30No prior authorization
Southeastern Indiana Health Organization, INC.33Prior authorization required
Central Mass Health, LLC33Prior authorization required
Perennial Advantage Of Ohio, INC.30No prior authorization
Provider Partners Health Plan Of Missouri, INC.33Prior authorization required
Medco Containment Life & Medco Containment Ny & Health Care33Prior authorization required
Hamaspik, INC.22Prior authorization required
Ks Plan Administrators, LLC22Prior authorization required
Amerihealth Caritas Vip Next, INC.22Prior authorization required
Beshp, INC.22Prior authorization required
Wellpoint Iowa, INC.22Prior authorization required
Florida Blue Medicare, INC.20No prior authorization
Wellpoint West Virginia , INC.22Prior authorization required
Arkansas Superior Select, INC.22Prior authorization required
Partners Insurance Company INC22Prior authorization required
Wellpoint Washington, INC.22Prior authorization required
Lifeworks Advantage, LLC20No prior authorization
Kansas Superior Select, INC.20No prior authorization
Signature Advantage, LLC22Prior authorization required
Primewest Rural Mn Health Care Access Initiative22Prior authorization required
South Country Health Alliance22Prior authorization required
Verda Health Plan Of Arizona, INC.22Prior authorization required
Sanford Health Plan Of Minnesota22Prior authorization required
Capital Advantage Insurance Company22Prior authorization required
Keystone Health Plan Central, INC.22Prior authorization required
Nhc Advantage, LLC20No prior authorization
Vista Health Plan, INC.22Prior authorization required
American Health Plan Of Ut, INC.20No prior authorization
Upmc For You, INC22Prior authorization required
American Health Plan Of Missouri, INC.20No prior authorization
New Century Health Plan, INC.22Prior authorization required
Troy Health, INC.22Prior authorization required
Community Health Group22Prior authorization required
Banner - University Care Advantage22Prior authorization required
Texas Independence Health Plan, INC.22Prior authorization required
Imperial Health Plan Of California, INC.22Prior authorization required
Denver Health Medical Plan, INC.22Prior authorization required
Community Health Plan Of Washington22Prior authorization required
Healthpartners Insurance Company22Prior authorization required
Missouri Care, Incorporated22Prior authorization required
Pruitthealth Premier North Carolina, LLC20No prior authorization
Elite Health Plan, INC.22Prior authorization required
American Health Plan Of Iowa INC20No prior authorization
Elderserve Health, INC.22Prior authorization required
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.22Prior authorization required
Excellus Health Plan Community Care LLC22Prior authorization required
Group Health Cooperative Of Eau Claire22Prior authorization required
Georgia Assurance, INC.20No prior authorization
Caresource Georgia CO.22Prior authorization required
Visiting Nurse Association Of Central New York22Prior authorization required
Community Health Choice Texas, INC.20No prior authorization
Align Senior Care Florida, INC.20No prior authorization
Longevity Health Plan Of New Jersey Insurance Comp22Prior authorization required
Hm Health Insurance Company20No prior authorization
Longevity Health Plan Of Colorado, INC.11Prior authorization required
Tsg Guard, INC.11Prior authorization required
Local Initiative Health Authority For La County10No prior authorization
Longevity Health Plan Of Florida, INC.11Prior authorization required
Imperial County Local Health Authority11Prior authorization required
Community Care Health Plan, INC.10No prior authorization
Alameda Alliance For Health11Prior authorization required
Independent Care Health Plan11Prior authorization required
HMO Minnesota11Prior authorization required
Amerihealth Caritas Louisiana, INC.11Prior authorization required
Partners Insurance Company Of New Jersey INC11Prior authorization required
Upper Peninsula Health Plan, LLC11Prior authorization required
Independent Health Benefits Corporation10No prior authorization
Oklahoma Superior Select, INC.10No prior authorization
Provider Partners Health Plan Of Illinois11Prior authorization required
Allcare Health Plan, INC.11Prior authorization required
Samaritan Health Plans, INC.11Prior authorization required
Ghs Health Maintenance Organization, INC.11Prior authorization required
Santa Clara County Health Authority11Prior authorization required
Provider Partners Health Plan Of Texas, INC.11Prior authorization required
Kern Health Systems11Prior authorization required
Hap Caresource11Prior authorization required
Select Health Of South Carolina, INC.11Prior authorization required
Contra Costa County Medical Service Dba Contra Costa Health11Prior authorization required
Longevity Health Plan Of North Carolina, INC.11Prior authorization required
Orange County Health Authority11Prior authorization required
Santa Cruz Monterey Merced San Benito Mariposa Managed Medic11Prior authorization required
San Joaquin County Health Commission11Prior authorization required
Banner Health Plan, INC.11Prior authorization required
Aids Healthcare Foundation11Prior authorization required
Health Plan Of Careoregon, INC.11Prior authorization required
Alohacare11Prior authorization required
San Mateo Health Commission11Prior authorization required
Amerihealth Michigan, INC.11Prior authorization required
Amerihealth Caritas Florida, INC.11Prior authorization required
Caresource Ohio, INC.11Prior authorization required
Lagniappe Advantage Insurance Company10No prior authorization
American Health Plan Of Fl, INC.10No prior authorization
Upmc Health Coverage, INC.11Prior authorization required
Provider Partners Health Plan Of Kentucky11Prior authorization required
Longevity Health Plan Of Michigan, INC.11Prior authorization required
Santa Barbara San Luis Obispo Regional Health Authority Dba11Prior authorization required
American Health Plan, INC.10No prior authorization
San Francisco Health Authority Dba San Francisco Health Plan11Prior authorization required
Amerihealth Caritas North Carolina, INC.11Prior authorization required
Horizon Healthcare Of New Jersey, INC.11Prior authorization required
Longevity Health Plan Of New York, INC.11Prior authorization required
Dignity Care Corporation10No prior authorization
Healthy Mississippi, INC.11Prior authorization required
Inland Empire Health Plan11Prior authorization required
West Virginia Senior Advantage, INC.11Prior authorization required
Longevity Health Plan Of Illinois, INC.11Prior authorization required
Ventura County Medi-Cal Managed Care Commission11Prior 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
Horizon Insurance Company11Prior authorization required

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