Does Medicare Part D cover Erzofri, and does it require prior authorization?

Does Medicare Part D cover Erzofri?

Erzofri appears on the Medicare Part D formularies of 117 payers in the corpus. 19 require prior authorization on every covering plan, 0 on some plans, and 98 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

Payer	Plans covering	Require prior auth	Status
Aetna (CVS Health)	653	0	No prior authorization
Devoted Health	415	0	No prior authorization
Kaiser Permanente	115	0	No prior authorization
SCAN Health Plan	74	0	No prior authorization
Molina Healthcare	51	0	No prior authorization
Zing Health Of Michigan, INC.	33	0	No prior authorization
Triple S Advantage, INC.	22	0	No prior authorization
Mcs Advantage, INC.	20	20	Prior authorization required
California Physicians' Service	17	17	Prior authorization required
Blue Cross Blue Shield (affiliate)	16	0	No prior authorization
Excellus Health Plan, INC.	16	0	No prior authorization
Central Health Plan Of California, INC.	15	0	No prior authorization
Selecthealth, INC.	14	14	Prior authorization required
Clover Health	13	0	No prior authorization
Prominence Healthfirst Of Texas	13	0	No prior authorization
Atrio Health Plans	12	0	No prior authorization
Mount Carmel Health Plan, INC.	11	0	No prior authorization
Allina Health And Aetna Insurance Company	9	0	No prior authorization
Geisinger Health Plan	9	9	Prior authorization required
Doctors Healthcare Plans, INC.	9	0	No prior authorization
Mvp Health Plan, INC.	8	0	No prior authorization
Network Health Insurance Corporation	8	0	No prior authorization
Prominence Healthfirst	8	0	No prior authorization
Viva Health, INC.	7	0	No prior authorization
Martin'S Point Generations Advantage, INC.	7	0	No prior authorization
Astiva Health, INC.	7	0	No prior authorization
Summacare INC.	7	0	No prior authorization
Champion Health Plan Of California INC	7	0	No prior authorization
Champion Health Plan Of Nevada, INC.	7	0	No prior authorization
Providence Health Assurance	7	0	No prior authorization
Alterwood Advantage, INC.	7	0	No prior authorization
Mass General Brigham Health Plan, INC	6	0	No prior authorization
Christus Health Plan	6	0	No prior authorization
Gold Kidney Of Florida INC	6	0	No prior authorization
Presbyterian Health Plan	6	6	Prior authorization required
Elderplan, INC.	6	0	No prior authorization
Connecticare, INC.	6	0	No prior authorization
Globalhealth, INC.	6	0	No prior authorization
Chinese Community Health Plan	5	0	No prior authorization
Hopkins Health Advantage, INC.	5	0	No prior authorization
Oh Chs Snp INC.	5	0	No prior authorization
Usable Mutual Insurance Company	5	0	No prior authorization
Gold Kidney Of Arizona	5	0	No prior authorization
Prominence Healthfirst Of Florida INC	5	0	No prior authorization
Hpmp Of Florida, INC.	5	0	No prior authorization
Hawaii Medical Service Association	4	0	No prior authorization
Leon Health, INC.	4	0	No prior authorization
Verda Health Plan Of Texas INC	4	0	No prior authorization
Sharp Health Plan	4	0	No prior authorization
Clever Care Of Golden State, INC.	4	0	No prior authorization
Aspire Health Plan	4	0	No prior authorization
Metroplus Health Plan, INC.	3	0	No prior authorization
Mount Carmel Health Insurance Company	3	0	No prior authorization
Village Senior Services Corporation	3	0	No prior authorization
Senior Whole Health, LLC	3	0	No prior authorization
Baycare Select Health Plans, INC.	3	0	No prior authorization
Cox Health Systems HMO INC	3	0	No prior authorization
Capital District Physicians' Health Plan, INC.	3	0	No prior authorization
Paramount Care, INC.	3	0	No prior authorization
Mount Carmel Health Plan Of Idaho, INC.	3	0	No prior authorization
Geisinger Indemnity Insurance Company	3	3	Prior authorization required
Vns Choice	3	0	No prior authorization
Mercy Care	3	0	No prior authorization
Usable HMO, INC.	3	0	No prior authorization
Mclaren Health Plan, INC.	3	0	No prior authorization
Southeastern Indiana Health Organization, INC.	3	0	No prior authorization
Amerihealth Caritas Vip Next, INC.	2	2	Prior authorization required
Commonwealth Care Alliance, INC.	2	0	No prior authorization
Arkansas Superior Select, INC.	2	0	No prior authorization
Neighborhood Health Plan Of Rhode Island	2	0	No prior authorization
Signature Advantage, LLC	2	0	No prior authorization
Primewest Rural Mn Health Care Access Initiative	2	0	No prior authorization
South Country Health Alliance	2	2	Prior authorization required
Verda Health Plan Of Arizona, INC.	2	0	No prior authorization
Vista Health Plan, INC.	2	2	Prior authorization required
New Century Health Plan, INC.	2	0	No prior authorization
Troy Health, INC.	2	2	Prior authorization required
Community Health Group	2	0	No prior authorization
Texas Independence Health Plan, INC.	2	0	No prior authorization
Imperial Health Plan Of California, INC.	2	0	No prior authorization
Denver Health Medical Plan, INC.	2	0	No prior authorization
Senior Whole Health Of New York, INC.	2	0	No prior authorization
Elite Health Plan, INC.	2	0	No prior authorization
Excellus Health Plan Community Care LLC	2	0	No prior authorization
Visiting Nurse Association Of Central New York	2	0	No prior authorization
Trinity Health Plan Of Michigan INC	2	0	No prior authorization
Mount Carmel Health Plan Of New York, INC.	2	0	No prior authorization
Elevance Health (Anthem)	2	0	No prior authorization
Tsg Guard, INC.	1	0	No prior authorization
Johns Hopkins Health Plan Of Virginia, INC.	1	0	No prior authorization
Imperial County Local Health Authority	1	0	No prior authorization
Alameda Alliance For Health	1	1	Prior authorization required
Itasca Medical Care	1	0	No prior authorization
Amerihealth Caritas Louisiana, INC.	1	1	Prior authorization required
Connecticare Insurance Company, INC.	1	0	No prior authorization
Allcare Health Plan, INC.	1	0	No prior authorization
Santa Clara County Health Authority	1	0	No prior authorization
Kern Health Systems	1	0	No prior authorization
Select Health Of South Carolina, INC.	1	1	Prior authorization required
Contra Costa County Medical Service Dba Contra Costa Health	1	1	Prior authorization required
Paramount Insurance Company	1	0	No prior authorization
Orange County Health Authority	1	0	No prior authorization
Health Choice Arizona, INC.	1	0	No prior authorization
Santa Cruz Monterey Merced San Benito Mariposa Managed Medic	1	0	No prior authorization
San Joaquin County Health Commission	1	0	No prior authorization
Aids Healthcare Foundation	1	0	No prior authorization
San Mateo Health Commission	1	1	Prior authorization required
Amerihealth Michigan, INC.	1	1	Prior authorization required
Amerihealth Caritas Florida, INC.	1	1	Prior authorization required
Santa Barbara San Luis Obispo Regional Health Authority Dba	1	0	No prior authorization
San Francisco Health Authority Dba San Francisco Health Plan	1	0	No prior authorization
Amerihealth Caritas North Carolina, INC.	1	1	Prior authorization required
Hawaii Medical Service Association (Hmsa)	1	0	No prior authorization
Healthy Mississippi, INC.	1	1	Prior authorization required
Inland Empire Health Plan	1	0	No prior authorization
West Virginia Senior Advantage, INC.	1	0	No prior authorization
Healthfirst Insurance Company, INC.	1	0	No prior authorization

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