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Does Medicare Part D cover Belsomra?

Belsomra appears on the Medicare Part D formularies of 185 payers in the corpus. 44 require prior authorization on every covering plan, 1 on some plans, and 140 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
Centene (WellCare)1970No prior authorization
Cigna1710No prior authorization
Blue Cross Blue Shield (affiliate)7328Varies by plan
Elevance Health (Anthem)650No 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.350No prior authorization
Preferred Care Partners, INC.350No prior authorization
Medco Containment Life And Medco Containment Ny270No prior authorization
Solis Health Plans, INC.2424Prior authorization required
Sunshine State Health Plan, INC.240No prior authorization
Physicians Health Choice Of Texas, LLC220No prior authorization
Tufts Associated Health Maintenance Organization210No prior authorization
Mmm Healthcare, LLC200No prior authorization
Mcs Advantage, INC.200No prior authorization
Health Care Service Corporation1919Prior authorization required
Harmony Health Plan, INC.190No prior authorization
Medica Health Plans1717Prior authorization required
Wellpoint Texas, INC.160No 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
Selecthealth, INC.140No prior authorization
Wellpoint Insurance Company140No prior authorization
Peoples Health, INC.130No prior authorization
Prominence Healthfirst Of Texas130No prior authorization
Atrio Health Plans120No prior authorization
HMO Louisiana, INC.1212Prior authorization required
Hcsc Insurance Services Company1111Prior authorization required
Aetna (CVS Health)100No prior authorization
Community Insurance Company100No prior authorization
HMO Colorado, INC.100No prior authorization
Quartz Health Plan Corporation100No prior authorization
Compcare Health Services Insurance Corporation100No prior authorization
Sanford Health Plan90No prior authorization
New York Quality Healthcare Corporation90No prior authorization
Wellpoint Tennessee, INC.90No prior authorization
Meridian Health Plan Of Michigan, INC.80No prior authorization
American Progressive Life & Hlth Ins Company Of Ny80No prior authorization
Keystone Health Plan East, INC.80No prior authorization
Prominence Healthfirst80No prior authorization
Fallon Community Health Plan80No prior authorization
Wellpoint Health Plans, INC.70No prior authorization
Astiva Health, INC.70No prior authorization
Bravo Health Mid-Atlantic, INC.70No prior authorization
Medica Insurance Company77Prior authorization required
Summacare INC.70No prior authorization
Champion Health Plan Of California INC70No prior authorization
Essence Healthcare PPO, INC.77Prior authorization required
Champion Health Plan Of Nevada, INC.70No prior authorization
Bluecross And Blueshield Of South Carolina70No prior authorization
Alterwood Advantage, INC.70No prior authorization
Mass General Brigham Health Plan, INC60No prior authorization
Buckeye Community Health Plan, INC.60No prior authorization
Nebraska Total Care, INC.60No prior authorization
Gold Kidney Of Florida INC60No prior authorization
Essence Healthcare, INC.66Prior authorization required
Hometown Health Plan, INC.60No prior authorization
Presbyterian Health Plan60No prior authorization
Preferred Care Network, INC.60No prior authorization
Scott And White Health Plan66Prior authorization required
Coordinated Care Of Washington, INC.50No prior authorization
Chinese Community Health Plan50No prior authorization
Independent Health Association, INC.50No prior authorization
Coordinated Care Corporation50No prior authorization
Oh Chs Snp INC.50No prior authorization
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
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
Pennsylvania Health & Wellness, INC.40No prior authorization
Sapphire Edge, INC.44Prior authorization required
The Health Plan Of West Virginia, INC.44Prior authorization required
Qcc Insurance Company40No prior authorization
Leon Health, INC.40No prior authorization
Verda Health Plan Of Texas INC40No prior authorization
Security Health Plan Of Wisconsin, INC.40No prior authorization
Boston Medical Center Health Plan, INC.44Prior authorization required
Bluecross Blueshield Kansas Solutions, INC.44Prior authorization required
Thp Insurance Company44Prior authorization required
Amh Health, LLC40No prior authorization
Quartz Health Plan Mn Corporation40No prior authorization
Medisun, INC.30No prior authorization
Wellpoint West Virginia , INC.30No prior authorization
Louisiana Health Service & Indemnity Company33Prior authorization required
Eternalhealth, INC.30No prior authorization
Community Care Health Plan Of Louisiana, INC.30No prior authorization
Village Senior Services Corporation30No prior authorization
Trillium Community Health Plan, INC.30No prior authorization
Baycare Select Health Plans, INC.30No prior authorization
Cox Health Systems HMO INC30No prior authorization
Wellpoint New Jersey, INC.30No prior authorization
Capital District Physicians' Health Plan, INC.30No prior authorization
Eternalhealth Of Arizona INC30No prior authorization
Aultcare Health Insuring Corporation30No 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
Vns Choice30No prior authorization
Mclaren Health Plan, INC.30No prior authorization
Southeastern Indiana Health Organization, INC.30No prior authorization
Central Mass Health, LLC33Prior authorization required
Ghs Insurance Company33Prior authorization required
Managed Health Services Insurance CORP.30No prior authorization
Provider Partners Health Plan Of Missouri, INC.30No prior authorization
Medco Containment Life & Medco Containment Ny & Health Care33Prior authorization required
Hamaspik, INC.22Prior authorization required
Arizona Physicians Ipa, INC.20No prior authorization
Ks Plan Administrators, LLC20No prior authorization
Carepartners Of Connecticut, INC.20No prior authorization
Beshp, INC.20No prior authorization
Wellpoint Iowa, INC.20No prior authorization
Wellpoint Washington, INC.20No prior authorization
Signature Advantage, LLC20No prior authorization
Primewest Rural Mn Health Care Access Initiative20No prior authorization
Verda Health Plan Of Arizona, INC.20No prior authorization
Sanford Health Plan Of Minnesota20No prior authorization
Capital Advantage Insurance Company22Prior authorization required
Keystone Health Plan Central, INC.22Prior authorization required
Selectcare Of Texas, INC.20No prior authorization
New Century Health Plan, INC.20No prior authorization
Community Health Group20No prior authorization
Banner - University Care Advantage22Prior authorization required
Texas Independence Health Plan, INC.20No prior authorization
Tufts Health Public Plans, INC.20No prior authorization
Imperial Health Plan Of California, INC.20No prior authorization
Bridgeway Health Solutions Of Arizona, INC.20No prior authorization
Denver Health Medical Plan, INC.20No prior authorization
Community Health Plan Of Washington22Prior authorization required
Capital Health Plan22Prior authorization required
Missouri Care, Incorporated20No prior authorization
Elite Health Plan, INC.20No prior authorization
Elderserve Health, INC.22Prior authorization required
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
Visiting Nurse Association Of Central New York20No prior authorization
Longevity Health Plan Of New Jersey Insurance Comp22Prior authorization required
Longevity Health Plan Of Colorado, INC.11Prior authorization required
Tsg Guard, INC.10No prior authorization
Longevity Health Plan Of Florida, INC.11Prior authorization required
Imperial County Local Health Authority10No prior authorization
Independent Care Health Plan10No prior authorization
HMO Minnesota11Prior authorization required
Wellpoint South Carolina, INC.10No prior authorization
Upper Peninsula Health Plan, LLC11Prior authorization required
Independent Health Benefits Corporation10No prior authorization
Provider Partners Health Plan Of Illinois10No prior authorization
Allcare Health Plan, INC.10No prior authorization
Ghs Health Maintenance Organization, INC.11Prior authorization required
Santa Clara County Health Authority10No prior authorization
Provider Partners Health Plan Of Texas, INC.10No prior authorization
Kern Health Systems10No prior authorization
Hap Caresource11Prior authorization required
Absolute Total Care, INC.10No prior authorization
Longevity Health Plan Of North Carolina, INC.11Prior authorization required
Santa Cruz Monterey Merced San Benito Mariposa Managed Medic10No prior authorization
San Joaquin County Health Commission10No prior authorization
Banner Health Plan, INC.11Prior authorization required
Aids Healthcare Foundation10No prior authorization
Alohacare10No prior authorization
San Mateo Health Commission10No 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
Santa Barbara San Luis Obispo Regional Health Authority Dba10No prior authorization
San Francisco Health Authority Dba San Francisco Health Plan10No prior authorization
Longevity Health Plan Of New York, INC.11Prior authorization required
Healthy Mississippi, INC.10No prior authorization
Inland Empire Health Plan10No prior authorization
West Virginia Senior Advantage, INC.10No prior authorization
Longevity Health Plan Of Illinois, INC.11Prior authorization required
Ventura County Medi-Cal Managed Care Commission11Prior authorization required
Horizon Insurance Company11Prior authorization required

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