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Does Medicare Part D cover Dulera?

Dulera appears on the Medicare Part D formularies of 185 payers in the corpus, across 3,194 plans. 28 payers require prior authorization on every covering plan, 1 on some plans, and 156 on none.

Beyond prior authorization: 0 covering plans require step therapy (another drug tried first) and 3,094 apply a quantity limit, on at least one Dulera product.

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 authStep therapyQuantity limitStatus
UnitedHealthcare73100731No prior authorization
Aetna (CVS Health)64100641No prior authorization
Devoted Health41500415No prior authorization
Blue Cross Blue Shield (affiliate)218290218Varies by plan
SCAN Health Plan74000No prior authorization
Alignment Healthcare670067No prior authorization
Molina Healthcare510051No prior authorization
Simply Healthcare Plans, INC.500050No prior authorization
Uhc Of California400040No prior authorization
Priority Health370037No prior authorization
Preferred Care Partners, INC.350035No prior authorization
Zing Health Of Michigan, INC.330033No prior authorization
Health Care Service Corporation310031No prior authorization
Solis Health Plans, INC.240024No prior authorization
Physicians Health Choice Of Texas, LLC220022No prior authorization
Hcsc Insurance Services Company180018No prior authorization
Medica Health Plans170017No prior authorization
Upmc Health Plan, INC.170017No prior authorization
Ultimate Health Plans, INC.1616016Prior authorization required
Excellus Health Plan, INC.160016No prior authorization
Medical Mutual Of Ohio160016No prior authorization
Central Health Plan Of California, INC.150015No prior authorization
Blue Care Network Of Michigan1515015Prior authorization required
Florida Blue Medicare, INC.130013No prior authorization
Peoples Health, INC.130013No prior authorization
Clover Health130013No prior authorization
Healthsun Health Plans, INC.130013No prior authorization
Upmc Health Network, INC.120012No prior authorization
HMO Louisiana, INC.120012No prior authorization
Mount Carmel Health Plan, INC.110011No prior authorization
Pacificsource Community Health Plans11000No prior authorization
Health Insurance Plan Of Greater New York100010No prior authorization
Quartz Health Plan Corporation1010010Prior authorization required
Sanford Health Plan9909Prior authorization required
Allina Health And Aetna Insurance Company9009No prior authorization
Geisinger Health Plan9000No prior authorization
Healthier New Jersey Insurance Company8008No prior authorization
Mvp Health Plan, INC.8008No prior authorization
Keystone Health Plan East, INC.8008No prior authorization
Network Health Insurance Corporation8008No prior authorization
Peak Health Insurance Corporation8008No prior authorization
Medco Containment Life & Medco Containment Ny & Health Care8008No prior authorization
Viva Health, INC.7007No prior authorization
Martin'S Point Generations Advantage, INC.7007No prior authorization
Health Alliance Plan Of Michigan7007No prior authorization
Medica Insurance Company7007No prior authorization
Essence Healthcare PPO, INC.7007No prior authorization
Bluecross And Blueshield Of South Carolina7707Prior authorization required
Providence Health Assurance7007No prior authorization
Christus Health Plan6006No prior authorization
Essence Healthcare, INC.6006No prior authorization
Hometown Health Plan, INC.6606Prior authorization required
Elderplan, INC.6006No prior authorization
Perennial Advantage Of Colorado, INC.6006No prior authorization
Connecticare, INC.6006No prior authorization
Preferred Care Network, INC.6006No prior authorization
Scott And White Health Plan6006No prior authorization
Hopkins Health Advantage, INC.5005No prior authorization
Alliance Health And Life Insurance Company5005No prior authorization
Sapphire Edge, INC.5005No prior authorization
Usable Mutual Insurance Company5005No prior authorization
Priority Health Choice, INC.5005No prior authorization
Hpmp Of Florida, INC.5005No prior authorization
Baylor Scott & White Insurance Company4004No prior authorization
Care N' Care Insurance Company Of North Carolina4404Prior authorization required
Health New England, INC.4404Prior authorization required
The Health Plan Of West Virginia, INC.4004No prior authorization
Communitycare Government Programs, INC.4004No prior authorization
Hawaii Medical Service Association4004No prior authorization
Qcc Insurance Company4004No prior authorization
Security Health Plan Of Wisconsin, INC.4404Prior authorization required
Sharp Health Plan4004No prior authorization
Gateway Health Plan, INC.4004No prior authorization
Capital Health Plan4004No prior authorization
Boston Medical Center Health Plan, INC.4004No prior authorization
Bluecross Blueshield Kansas Solutions, INC.4004No prior authorization
Clever Care Of Golden State, INC.4004No prior authorization
Central Mass Health, LLC4004No prior authorization
Ghs Insurance Company4004No prior authorization
Thp Insurance Company4004No prior authorization
Dean Health Plan, INC.4004No prior authorization
Quartz Health Plan Mn Corporation4404Prior authorization required
Medisun, INC.3303Prior authorization required
Metroplus Health Plan, INC.3003No prior authorization
Louisiana Health Service & Indemnity Company3003No prior authorization
Eternalhealth, INC.3303Prior authorization required
Patrius Health, INC.3003No prior authorization
Marquis Advantage, INC.3003No prior authorization
Mount Carmel Health Insurance Company3003No prior authorization
Senior Whole Health, LLC3003No prior authorization
Secur INC3003No prior authorization
Align Senior Care California INC.3003No prior authorization
Pruitthealth Premier, INC.3003No prior authorization
Capital District Physicians' Health Plan, INC.3003No prior authorization
Procare Advantage, LLC3003No prior authorization
Eternalhealth Of Arizona INC3303Prior authorization required
Paramount Care, INC.3003No prior authorization
Aultcare Health Insuring Corporation3000No prior authorization
Mount Carmel Health Plan Of Idaho, INC.3003No prior authorization
Geisinger Indemnity Insurance Company3000No prior authorization
Simpra Advantage, INC.3003No prior authorization
Provider Partners Health Plan Of Pennsylvania, INC3303Prior authorization required
Provider Partners Health Plan Of North Carolina3303Prior authorization required
Provider Partners Health Plan Of Indiana3303Prior authorization required
Amerihealth Insurance Company Of New Jersey3003No prior authorization
Mercy Care3003No prior authorization
Usable HMO, INC.3003No prior authorization
Liberty Advantage, LLC3003No prior authorization
Perennial Advantage Of Ohio, INC.3003No prior authorization
Provider Partners Health Plan Of Missouri, INC.3303Prior authorization required
Hamaspik, INC.2002No prior authorization
Arizona Physicians Ipa, INC.2002No prior authorization
Ks Plan Administrators, LLC2202Prior authorization required
Beshp, INC.2202Prior authorization required
Commonwealth Care Alliance, INC.2002No prior authorization
Neighborhood Health Plan Of Rhode Island2002No prior authorization
Lifeworks Advantage, LLC2002No prior authorization
Kansas Superior Select, INC.2002No prior authorization
Sentara Health Plans2002No prior authorization
Sanford Health Plan Of Minnesota2202Prior authorization required
Capital Advantage Insurance Company2002No prior authorization
Keystone Health Plan Central, INC.2002No prior authorization
Nhc Advantage, LLC2002No prior authorization
American Health Plan Of Ut, INC.2002No prior authorization
Upmc For You, INC2002No prior authorization
American Health Plan Of Missouri, INC.2002No prior authorization
Banner - University Care Advantage2002No prior authorization
Community Health Plan Of Washington2002No prior authorization
Senior Whole Health Of New York, INC.2002No prior authorization
Nextblue Of North Dakota Insurance Company2202Prior authorization required
Pruitthealth Premier North Carolina, LLC2002No prior authorization
American Health Plan Of Iowa INC2002No prior authorization
Elderserve Health, INC.2002No prior authorization
Align Senior Care Mi, LLC2002No prior authorization
Isnp Ventures, LLC2002No prior authorization
Memorial Hermann Health Plan2002No prior authorization
Good Samaritan Insurance Plan Of Nebraska, INC.2202Prior authorization required
Excellus Health Plan Community Care LLC2002No prior authorization
Group Health Cooperative Of Eau Claire2002No prior authorization
Georgia Assurance, INC.2002No prior authorization
Caresource Georgia CO.2002No prior authorization
Trinity Health Plan Of Michigan INC2002No prior authorization
Wyoblue Advantage INC2202Prior authorization required
Community Health Choice Texas, INC.2002No prior authorization
Mount Carmel Health Plan Of New York, INC.2002No prior authorization
Align Senior Care Florida, INC.2002No prior authorization
Longevity Health Plan Of New Jersey Insurance Comp2002No prior authorization
Elevance Health (Anthem)2002No prior authorization
Hm Health Insurance Company2002No prior authorization
Horizon Insurance Company2002No prior authorization
Longevity Health Plan Of Colorado, INC.1001No prior authorization
Local Initiative Health Authority For La County1001No prior authorization
Johns Hopkins Health Plan Of Virginia, INC.1001No prior authorization
Longevity Health Plan Of Florida, INC.1001No prior authorization
Itasca Medical Care1001No prior authorization
HMO Minnesota1001No prior authorization
Upper Peninsula Health Plan, LLC1001No prior authorization
Connecticare Insurance Company, INC.1001No prior authorization
Oklahoma Superior Select, INC.1001No prior authorization
Provider Partners Health Plan Of Illinois1101Prior authorization required
Samaritan Health Plans, INC.1101Prior authorization required
Ghs Health Maintenance Organization, INC.1001No prior authorization
Provider Partners Health Plan Of Texas, INC.1101Prior authorization required
Hap Caresource1001No prior authorization
Paramount Insurance Company1001No prior authorization
Longevity Health Plan Of North Carolina, INC.1001No prior authorization
Health Choice Arizona, INC.1001No prior authorization
Banner Health Plan, INC.1001No prior authorization
Alohacare1101Prior authorization required
Caresource Ohio, INC.1001No prior authorization
Lagniappe Advantage Insurance Company1001No prior authorization
American Health Plan Of Fl, INC.1001No prior authorization
Upmc Health Coverage, INC.1001No prior authorization
Provider Partners Health Plan Of Kentucky1101Prior authorization required
Longevity Health Plan Of Michigan, INC.1001No prior authorization
American Health Plan, INC.1001No prior authorization
Horizon Healthcare Of New Jersey, INC.1001No prior authorization
Longevity Health Plan Of New York, INC.1001No prior authorization
Hawaii Medical Service Association (Hmsa)1001No prior authorization
Dignity Care Corporation1001No prior authorization
Longevity Health Plan Of Illinois, INC.1001No prior authorization
Ventura County Medi-Cal Managed Care Commission1001No prior authorization
American Health Plan Of Indiana INC1001No prior authorization
American Health Plan Of Ms, INC.1001No prior authorization
American Health Plan Of Pennsylvania INC1001No prior authorization

“Require prior auth”, “step therapy” and “quantity limit” each count a plan when any Dulera product on its formulary carries that condition.

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.