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Does Medicare Part D cover FYCOMPA?

FYCOMPA appears on the Medicare Part D formularies of 135 payers in the corpus. 57 require prior authorization on every covering plan, 1 on some plans, and 77 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
Humana817817Prior authorization required
UnitedHealthcare7310No prior authorization
Aetna (CVS Health)653653Prior authorization required
Devoted Health415415Prior authorization required
Cigna1710No prior authorization
Kaiser Permanente11516Varies by plan
SCAN Health Plan7474Prior authorization required
Medco Containment Life And Medco Containment Ny600No prior authorization
Molina Healthcare5151Prior authorization required
Blue Cross Blue Shield (affiliate)4848Prior authorization required
Cariten Health Plan INC.4444Prior authorization required
Uhc Of California400No prior authorization
Careplus Health Plans, INC.3636Prior authorization required
Bravo Health Pennsylvania, INC.350No prior authorization
Preferred Care Partners, INC.350No prior authorization
Zing Health Of Michigan, INC.3333Prior authorization required
Physicians Health Choice Of Texas, LLC220No prior authorization
Tufts Associated Health Maintenance Organization210No prior authorization
Mcs Advantage, INC.2020Prior authorization required
Medica Health Plans170No prior authorization
Bluecross Blueshield Of Tennessee, INC.170No prior authorization
Ultimate Health Plans, INC.160No prior authorization
Excellus Health Plan, INC.160No prior authorization
Medical Mutual Of Ohio160No prior authorization
Central Health Plan Of California, INC.1515Prior authorization required
Blue Care Network Of Michigan1515Prior authorization required
Selecthealth, INC.140No prior authorization
Peoples Health, INC.130No prior authorization
Clover Health1313Prior authorization required
HMO Louisiana, INC.120No prior authorization
Mount Carmel Health Plan, INC.1111Prior authorization required
Sanford Health Plan90No prior authorization
Allina Health And Aetna Insurance Company99Prior authorization required
Mvp Health Plan, INC.88Prior authorization required
Keystone Health Plan East, INC.80No prior authorization
Fallon Community Health Plan88Prior authorization required
Health Partners Plans, INC.88Prior authorization required
Viva Health, INC.77Prior authorization required
Martin'S Point Generations Advantage, INC.77Prior authorization required
Bravo Health Mid-Atlantic, INC.70No prior authorization
Health Alliance Plan Of Michigan77Prior authorization required
Medica Insurance Company70No prior authorization
Essence Healthcare PPO, INC.70No prior authorization
Bluecross And Blueshield Of South Carolina70No prior authorization
Christus Health Plan66Prior authorization required
Essence Healthcare, INC.60No prior authorization
Hometown Health Plan, INC.60No prior authorization
Presbyterian Health Plan60No prior authorization
Elderplan, INC.66Prior authorization required
Connecticare, INC.66Prior authorization required
Preferred Care Network, INC.60No prior authorization
Hopkins Health Advantage, INC.55Prior authorization required
Alliance Health And Life Insurance Company55Prior authorization required
Usable Mutual Insurance Company55Prior authorization required
Hpmp Of Florida, INC.55Prior authorization required
Care N' Care Insurance Company Of North Carolina40No prior authorization
Health New England, INC.40No prior authorization
The Health Plan Of West Virginia, INC.40No prior authorization
Hawaii Medical Service Association44Prior authorization required
Qcc Insurance Company40No prior authorization
Leon Health, INC.40No prior authorization
Security Health Plan Of Wisconsin, INC.40No prior authorization
Sharp Health Plan44Prior authorization required
Gateway Health Plan, INC.44Prior authorization required
Boston Medical Center Health Plan, INC.40No prior authorization
Clever Care Of Golden State, INC.44Prior authorization required
Thp Insurance Company40No prior authorization
Aspire Health Plan40No prior authorization
Medisun, INC.30No prior authorization
Metroplus Health Plan, INC.33Prior authorization required
Louisiana Health Service & Indemnity Company30No prior authorization
Eternalhealth, INC.30No prior authorization
Partners Insurance Company INC33Prior authorization required
Mount Carmel Health Insurance Company33Prior authorization required
Senior Whole Health, LLC33Prior authorization required
Volunteer State Health Plan30No prior authorization
Capital District Physicians' Health Plan, INC.30No prior authorization
Eternalhealth Of Arizona INC30No prior authorization
Paramount Care, INC.33Prior authorization required
Mount Carmel Health Plan Of Idaho, INC.33Prior authorization required
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
Amerihealth Insurance Company Of New Jersey30No prior authorization
Mercy Care33Prior authorization required
Usable HMO, INC.33Prior authorization required
Provider Partners Health Plan Of Missouri, INC.30No prior authorization
Hamaspik, INC.20No prior authorization
Arizona Physicians Ipa, INC.20No prior authorization
Carepartners Of Connecticut, INC.20No prior authorization
Beshp, INC.20No prior authorization
Commonwealth Care Alliance, INC.22Prior authorization required
Neighborhood Health Plan Of Rhode Island22Prior authorization required
Partners Insurance Company Of New Jersey INC22Prior authorization required
Sanford Health Plan Of Minnesota20No prior authorization
Banner - University Care Advantage20No prior authorization
Tufts Health Public Plans, INC.20No prior authorization
Community Health Plan Of Washington20No prior authorization
Senior Whole Health Of New York, INC.22Prior authorization required
Nextblue Of North Dakota Insurance Company22Prior authorization required
Elderserve Health, INC.20No prior authorization
Good Samaritan Insurance Plan Of Nebraska, INC.20No prior authorization
Excellus Health Plan Community Care LLC20No prior authorization
Group Health Cooperative Of Eau Claire20No prior authorization
Caresource Georgia CO.20No prior authorization
Trinity Health Plan Of Michigan INC22Prior authorization required
Wyoblue Advantage INC22Prior authorization required
Mount Carmel Health Plan Of New York, INC.22Prior authorization required
Longevity Health Plan Of New Jersey Insurance Comp20No prior authorization
Elevance Health (Anthem)22Prior authorization required
Longevity Health Plan Of Colorado, INC.10No prior authorization
Johns Hopkins Health Plan Of Virginia, INC.11Prior authorization required
Longevity Health Plan Of Florida, INC.10No prior authorization
Independent Care Health Plan11Prior authorization required
Itasca Medical Care11Prior authorization required
Upper Peninsula Health Plan, LLC10No prior authorization
Connecticare Insurance Company, INC.11Prior authorization required
Provider Partners Health Plan Of Illinois10No prior authorization
Samaritan Health Plans, INC.10No prior authorization
Provider Partners Health Plan Of Texas, INC.10No prior authorization
Hap Caresource10No prior authorization
Paramount Insurance Company11Prior authorization required
Longevity Health Plan Of North Carolina, INC.10No prior authorization
Health Choice Arizona, INC.11Prior authorization required
Banner Health Plan, INC.10No prior authorization
Alohacare10No prior authorization
Caresource Ohio, INC.10No prior authorization
Provider Partners Health Plan Of Kentucky10No prior authorization
Longevity Health Plan Of Michigan, INC.10No prior authorization
Longevity Health Plan Of New York, INC.10No prior authorization
Hawaii Medical Service Association (Hmsa)11Prior authorization required
Healthy Mississippi, INC.10No prior authorization
Inland Empire Health Plan10No prior authorization
Longevity Health Plan Of Illinois, INC.10No prior authorization
Healthfirst Insurance Company, INC.11Prior authorization required

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