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Does Medicare Part D cover Dulera?

Dulera appears on the Medicare Part D formularies of 185 payers in the corpus. 28 require prior authorization on every covering plan, 1 on some plans, and 156 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
UnitedHealthcare7310No prior authorization
Aetna (CVS Health)6410No prior authorization
Devoted Health4150No prior authorization
Blue Cross Blue Shield (affiliate)21829Varies by plan
SCAN Health Plan740No prior authorization
Alignment Healthcare670No prior authorization
Molina Healthcare510No prior authorization
Simply Healthcare Plans, INC.500No prior authorization
Uhc Of California400No prior authorization
Priority Health370No prior authorization
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
Physicians Health Choice Of Texas, LLC220No prior authorization
Hcsc Insurance Services Company180No prior authorization
Medica Health Plans170No prior authorization
Upmc Health Plan, INC.170No prior authorization
Ultimate Health Plans, INC.1616Prior authorization required
Excellus Health Plan, INC.160No prior authorization
Medical Mutual Of Ohio160No prior authorization
Central Health Plan Of California, INC.150No prior authorization
Blue Care Network Of Michigan1515Prior authorization required
Florida Blue Medicare, INC.130No prior authorization
Peoples Health, INC.130No prior authorization
Clover Health130No prior authorization
Healthsun Health Plans, INC.130No prior authorization
Upmc Health Network, INC.120No prior authorization
HMO Louisiana, INC.120No prior authorization
Mount Carmel Health Plan, INC.110No prior authorization
Pacificsource Community Health Plans110No prior authorization
Health Insurance Plan Of Greater New York100No prior authorization
Quartz Health Plan Corporation1010Prior authorization required
Sanford Health Plan99Prior authorization required
Allina Health And Aetna Insurance Company90No prior authorization
Geisinger Health Plan90No prior authorization
Healthier New Jersey Insurance Company80No prior authorization
Mvp Health Plan, INC.80No prior authorization
Keystone Health Plan East, INC.80No prior authorization
Network Health Insurance Corporation80No prior authorization
Peak Health Insurance Corporation80No 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
Health Alliance Plan Of Michigan70No prior authorization
Medica Insurance Company70No prior authorization
Essence Healthcare PPO, INC.70No prior authorization
Bluecross And Blueshield Of South Carolina77Prior authorization required
Providence Health Assurance70No prior authorization
Christus Health Plan60No prior authorization
Essence Healthcare, INC.60No prior authorization
Hometown Health Plan, INC.66Prior authorization required
Elderplan, INC.60No prior authorization
Perennial Advantage Of Colorado, INC.60No prior authorization
Connecticare, INC.60No prior authorization
Preferred Care Network, INC.60No prior authorization
Scott And White Health Plan60No prior authorization
Hopkins Health Advantage, INC.50No prior authorization
Alliance Health And Life Insurance Company50No prior authorization
Sapphire Edge, INC.50No prior authorization
Usable Mutual Insurance Company50No prior authorization
Priority Health Choice, INC.50No prior authorization
Hpmp Of Florida, INC.50No prior authorization
Baylor Scott & White Insurance Company40No prior authorization
Care N' Care Insurance Company Of North Carolina44Prior authorization required
Health New England, INC.44Prior authorization required
The Health Plan Of West Virginia, INC.40No prior authorization
Communitycare Government Programs, INC.40No prior authorization
Hawaii Medical Service Association40No prior authorization
Qcc Insurance Company40No prior authorization
Security Health Plan Of Wisconsin, INC.44Prior authorization required
Sharp Health Plan40No prior authorization
Gateway Health Plan, INC.40No prior authorization
Capital Health Plan40No prior authorization
Boston Medical Center Health Plan, INC.40No prior authorization
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 Company40No prior authorization
Dean Health Plan, INC.40No prior authorization
Quartz Health Plan Mn Corporation44Prior authorization required
Medisun, INC.33Prior authorization required
Metroplus Health Plan, INC.30No prior authorization
Louisiana Health Service & Indemnity Company30No prior authorization
Eternalhealth, INC.33Prior authorization required
Patrius Health, INC.30No prior authorization
Marquis Advantage, INC.30No prior authorization
Mount Carmel Health Insurance Company30No prior authorization
Senior Whole Health, LLC30No prior authorization
Secur INC30No prior authorization
Align Senior Care California INC.30No prior authorization
Pruitthealth Premier, INC.30No prior authorization
Capital District Physicians' Health Plan, INC.30No prior authorization
Procare Advantage, LLC30No prior authorization
Eternalhealth Of Arizona INC33Prior authorization required
Paramount Care, INC.30No prior authorization
Aultcare Health Insuring Corporation30No prior authorization
Mount Carmel Health Plan Of Idaho, INC.30No 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 Jersey30No prior authorization
Mercy Care30No prior authorization
Usable HMO, INC.30No prior authorization
Liberty Advantage, LLC30No prior authorization
Perennial Advantage Of Ohio, INC.30No prior authorization
Provider Partners Health Plan Of Missouri, INC.33Prior authorization required
Hamaspik, INC.20No prior authorization
Arizona Physicians Ipa, INC.20No prior authorization
Ks Plan Administrators, LLC22Prior authorization required
Beshp, INC.22Prior authorization required
Commonwealth Care Alliance, INC.20No prior authorization
Neighborhood Health Plan Of Rhode Island20No prior authorization
Lifeworks Advantage, LLC20No prior authorization
Kansas Superior Select, INC.20No prior authorization
Sentara Health Plans20No prior authorization
Sanford Health Plan Of Minnesota22Prior authorization required
Capital Advantage Insurance Company20No prior authorization
Keystone Health Plan Central, INC.20No prior authorization
Nhc Advantage, LLC20No prior authorization
American Health Plan Of Ut, INC.20No prior authorization
Upmc For You, INC20No prior authorization
American Health Plan Of Missouri, INC.20No prior authorization
Banner - University Care Advantage20No prior authorization
Community Health Plan Of Washington20No prior authorization
Senior Whole Health Of New York, INC.20No prior authorization
Nextblue Of North Dakota Insurance Company22Prior authorization required
Pruitthealth Premier North Carolina, LLC20No prior authorization
American Health Plan Of Iowa INC20No prior authorization
Elderserve Health, INC.20No prior authorization
Align Senior Care Mi, LLC20No prior authorization
Isnp Ventures, LLC20No prior authorization
Memorial Hermann Health Plan20No prior authorization
Good Samaritan Insurance Plan Of Nebraska, INC.22Prior authorization required
Excellus Health Plan Community Care LLC20No prior authorization
Group Health Cooperative Of Eau Claire20No prior authorization
Georgia Assurance, INC.20No prior authorization
Caresource Georgia CO.20No prior authorization
Trinity Health Plan Of Michigan INC20No prior authorization
Wyoblue Advantage INC22Prior authorization required
Community Health Choice Texas, INC.20No prior authorization
Mount Carmel Health Plan Of New York, INC.20No prior authorization
Align Senior Care Florida, INC.20No prior authorization
Longevity Health Plan Of New Jersey Insurance Comp20No prior authorization
Elevance Health (Anthem)20No prior authorization
Hm Health Insurance Company20No prior authorization
Horizon Insurance Company20No prior authorization
Longevity Health Plan Of Colorado, INC.10No prior authorization
Local Initiative Health Authority For La County10No prior authorization
Johns Hopkins Health Plan Of Virginia, INC.10No prior authorization
Longevity Health Plan Of Florida, INC.10No prior authorization
Itasca Medical Care10No prior authorization
HMO Minnesota10No prior authorization
Upper Peninsula Health Plan, LLC10No prior authorization
Connecticare Insurance Company, INC.10No prior authorization
Oklahoma Superior Select, INC.10No prior authorization
Provider Partners Health Plan Of Illinois11Prior authorization required
Samaritan Health Plans, INC.11Prior authorization required
Ghs Health Maintenance Organization, INC.10No prior authorization
Provider Partners Health Plan Of Texas, INC.11Prior authorization required
Hap Caresource10No prior authorization
Paramount Insurance Company10No prior authorization
Longevity Health Plan Of North Carolina, INC.10No prior authorization
Health Choice Arizona, INC.10No prior authorization
Banner Health Plan, INC.10No prior authorization
Alohacare11Prior authorization required
Caresource Ohio, INC.10No prior authorization
Lagniappe Advantage Insurance Company10No prior authorization
American Health Plan Of Fl, INC.10No prior authorization
Upmc Health Coverage, INC.10No prior authorization
Provider Partners Health Plan Of Kentucky11Prior authorization required
Longevity Health Plan Of Michigan, INC.10No prior authorization
American Health Plan, INC.10No prior authorization
Horizon Healthcare Of New Jersey, INC.10No prior authorization
Longevity Health Plan Of New York, INC.10No prior authorization
Hawaii Medical Service Association (Hmsa)10No prior authorization
Dignity Care Corporation10No prior authorization
Longevity Health Plan Of Illinois, INC.10No prior authorization
Ventura County Medi-Cal Managed Care Commission10No prior authorization
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

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