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Does Medicare Part D cover Edarbyclor?

Edarbyclor appears on the Medicare Part D formularies of 132 payers in the corpus, across 2,810 plans. 0 payers require prior authorization on every covering plan, 0 on some plans, and 132 on none.

Beyond prior authorization: 294 covering plans require step therapy (another drug tried first) and 2,340 apply a quantity limit, on at least one Edarbyclor 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
UnitedHealthcare69700697No prior authorization
Aetna (CVS Health)62100621No prior authorization
Cigna171000No prior authorization
Centene (WellCare)16300163No prior authorization
Devoted Health1320132132No prior authorization
Blue Cross Blue Shield (affiliate)810071No prior authorization
Medco Containment Life And Medco Containment Ny60000No prior authorization
Elevance Health (Anthem)520052No prior authorization
Molina Healthcare5105151No prior authorization
Uhc Of California400040No prior authorization
Bravo Health Pennsylvania, INC.35000No prior authorization
Preferred Care Partners, INC.350035No prior authorization
Solis Health Plans, INC.240024No prior authorization
Sunshine State Health Plan, INC.240024No prior authorization
Physicians Health Choice Of Texas, LLC220022No prior authorization
Health Care Service Corporation190019No prior authorization
Harmony Health Plan, INC.190019No prior authorization
Medica Health Plans17000No prior authorization
Wellpoint Texas, INC.160016No prior authorization
Excellus Health Plan, INC.1601616No prior authorization
Superior Healthplan, INC.150015No prior authorization
Central Health Plan Of California, INC.1501515No prior authorization
Selecthealth, INC.140140No prior authorization
Wellpoint Insurance Company140014No prior authorization
Peoples Health, INC.130013No prior authorization
Clover Health1301313No prior authorization
Prominence Healthfirst Of Texas13000No prior authorization
HMO Louisiana, INC.12000No prior authorization
Hcsc Insurance Services Company110011No prior authorization
Mount Carmel Health Plan, INC.1101111No prior authorization
Community Insurance Company100010No prior authorization
HMO Colorado, INC.100010No prior authorization
Quartz Health Plan Corporation10000No prior authorization
Compcare Health Services Insurance Corporation100010No prior authorization
Sanford Health Plan9000No prior authorization
Allina Health And Aetna Insurance Company9009No prior authorization
Doctors Healthcare Plans, INC.9009No prior authorization
New York Quality Healthcare Corporation9009No prior authorization
Meridian Health Plan Of Michigan, INC.8008No prior authorization
American Progressive Life & Hlth Ins Company Of Ny8008No prior authorization
Prominence Healthfirst8000No prior authorization
Wellpoint Health Plans, INC.7007No prior authorization
Bravo Health Mid-Atlantic, INC.7000No prior authorization
Medica Insurance Company7000No prior authorization
Essence Healthcare PPO, INC.7000No prior authorization
Buckeye Community Health Plan, INC.6006No prior authorization
Nebraska Total Care, INC.6006No prior authorization
Essence Healthcare, INC.6000No prior authorization
Hometown Health Plan, INC.6000No prior authorization
Mvp Health Plan, INC.6066No prior authorization
Connecticare, INC.6066No prior authorization
Preferred Care Network, INC.6006No prior authorization
Scott And White Health Plan6006No prior authorization
Coordinated Care Of Washington, INC.5005No prior authorization
Viva Health, INC.5055No prior authorization
Coordinated Care Corporation5005No prior authorization
Martin'S Point Generations Advantage, INC.5055No prior authorization
Meridian Health Plan Of Illinois, INC.5005No prior authorization
Wellpoint Tennessee, INC.5005No prior authorization
Sunflower State Health Plan, INC.5005No prior authorization
Prominence Healthfirst Of Florida INC5000No prior authorization
Arkansas Health & Wellness Health Plan, INC.5005No prior authorization
Home State Health Plan, INC.4004No prior authorization
Baylor Scott & White Insurance Company4004No prior authorization
Care N' Care Insurance Company Of North Carolina4000No prior authorization
Pennsylvania Health & Wellness, INC.4004No prior authorization
Sapphire Edge, INC.4004No prior authorization
The Health Plan Of West Virginia, INC.4000No prior authorization
Leon Health, INC.4000No prior authorization
Security Health Plan Of Wisconsin, INC.4000No prior authorization
Boston Medical Center Health Plan, INC.4000No prior authorization
Bluecross Blueshield Kansas Solutions, INC.4004No prior authorization
Thp Insurance Company4000No prior authorization
Amh Health, LLC4004No prior authorization
Quartz Health Plan Mn Corporation4000No prior authorization
Medisun, INC.3000No prior authorization
Louisiana Health Service & Indemnity Company3000No prior authorization
Eternalhealth, INC.3000No prior authorization
Mount Carmel Health Insurance Company3033No prior authorization
Community Care Health Plan Of Louisiana, INC.3003No prior authorization
Trillium Community Health Plan, INC.3003No prior authorization
Wellpoint New Jersey, INC.3003No prior authorization
Capital District Physicians' Health Plan, INC.3033No prior authorization
Eternalhealth Of Arizona INC3000No prior authorization
Mount Carmel Health Plan Of Idaho, INC.3033No prior authorization
Celtic Insurance Company3003No prior authorization
Central Mass Health, LLC3003No prior authorization
Bluecross And Blueshield Of South Carolina3000No prior authorization
Ghs Insurance Company3003No prior authorization
Managed Health Services Insurance CORP.3003No prior authorization
Hamaspik, INC.2002No prior authorization
Arizona Physicians Ipa, INC.2002No prior authorization
Beshp, INC.2000No prior authorization
Wellpoint Iowa, INC.2002No prior authorization
Wellpoint West Virginia , INC.2002No prior authorization
Wellpoint Washington, INC.2002No prior authorization
Sanford Health Plan Of Minnesota2000No prior authorization
Capital Advantage Insurance Company2002No prior authorization
Keystone Health Plan Central, INC.2002No prior authorization
Selectcare Of Texas, INC.2002No prior authorization
Banner - University Care Advantage2000No prior authorization
Bridgeway Health Solutions Of Arizona, INC.2002No prior authorization
Capital Health Plan2002No prior authorization
Senior Whole Health Of New York, INC.2022No prior authorization
Missouri Care, Incorporated2002No prior authorization
Elderserve Health, INC.2000No prior authorization
Good Samaritan Insurance Plan Of Nebraska, INC.2000No prior authorization
Excellus Health Plan Community Care LLC2022No prior authorization
Group Health Cooperative Of Eau Claire2000No prior authorization
Caresource Georgia CO.2000No prior authorization
Trinity Health Plan Of Michigan INC2022No prior authorization
Mount Carmel Health Plan Of New York, INC.2022No prior authorization
Longevity Health Plan Of New Jersey Insurance Comp2000No prior authorization
Hm Health Insurance Company2000No prior authorization
Longevity Health Plan Of Colorado, INC.1000No prior authorization
Metroplus Health Plan, INC.1011No prior authorization
Longevity Health Plan Of Florida, INC.1000No prior authorization
HMO Minnesota1001No prior authorization
Upper Peninsula Health Plan, LLC1000No prior authorization
Connecticare Insurance Company, INC.1011No prior authorization
Samaritan Health Plans, INC.1000No prior authorization
Ghs Health Maintenance Organization, INC.1001No prior authorization
Hap Caresource1000No prior authorization
Absolute Total Care, INC.1001No prior authorization
Longevity Health Plan Of North Carolina, INC.1000No prior authorization
Banner Health Plan, INC.1000No prior authorization
Caresource Ohio, INC.1000No prior authorization
Longevity Health Plan Of Michigan, INC.1000No prior authorization
Longevity Health Plan Of New York, INC.1000No prior authorization
Healthy Mississippi, INC.1010No prior authorization
Longevity Health Plan Of Illinois, INC.1000No prior authorization
Ventura County Medi-Cal Managed Care Commission1001No prior authorization

“Require prior auth”, “step therapy” and “quantity limit” each count a plan when any Edarbyclor 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.