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Does Medicare Part D cover Invokamet?

Invokamet appears on the Medicare Part D formularies of 48 payers in the corpus, across 730 plans. 0 payers require prior authorization on every covering plan, 0 on some plans, and 48 on none.

Beyond prior authorization: 0 covering plans require step therapy (another drug tried first) and 729 apply a quantity limit, on at least one Invokamet 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
Centene (WellCare)19700197No prior authorization
Alignment Healthcare670067No prior authorization
Elevance Health (Anthem)650065No prior authorization
Simply Healthcare Plans, INC.500050No prior authorization
Blue Cross Blue Shield (affiliate)450045No prior authorization
Sunshine State Health Plan, INC.240024No prior authorization
Freedom Health, INC.240024No prior authorization
Harmony Health Plan, INC.190019No prior authorization
Wellpoint Texas, INC.160016No prior authorization
Superior Healthplan, INC.150015No prior authorization
Optimum Healthcare, INC.150015No prior authorization
Wellpoint Insurance Company140014No prior authorization
Healthsun Health Plans, INC.130013No prior authorization
Community Insurance Company100010No prior authorization
HMO Colorado, INC.100010No prior authorization
Compcare Health Services Insurance Corporation100010No prior authorization
New York Quality Healthcare Corporation9009No prior authorization
Wellpoint Tennessee, INC.9009No prior authorization
Meridian Health Plan Of Michigan, INC.8008No prior authorization
American Progressive Life & Hlth Ins Company Of Ny8008No prior authorization
Network Health Insurance Corporation8008No prior authorization
Wellpoint Health Plans, INC.7007No prior authorization
Buckeye Community Health Plan, INC.6006No prior authorization
Nebraska Total Care, INC.6006No prior authorization
Presbyterian Health Plan6006No prior authorization
Coordinated Care Of Washington, INC.5005No prior authorization
Coordinated Care Corporation5005No prior authorization
Meridian Health Plan Of Illinois, INC.5005No prior authorization
Sunflower State Health Plan, INC.5005No prior authorization
Arkansas Health & Wellness Health Plan, INC.5005No prior authorization
Home State Health Plan, INC.4004No prior authorization
Pennsylvania Health & Wellness, INC.4004No prior authorization
Amh Health, LLC4004No prior authorization
Wellpoint West Virginia , INC.3003No 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
Celtic Insurance Company3003No prior authorization
Managed Health Services Insurance CORP.3003No prior authorization
Wellpoint Iowa, INC.2002No prior authorization
Wellpoint Washington, INC.2002No prior authorization
Selectcare Of Texas, INC.2002No prior authorization
Bridgeway Health Solutions Of Arizona, INC.2002No prior authorization
Missouri Care, Incorporated2002No prior authorization
Wellpoint South Carolina, INC.1001No prior authorization
Samaritan Health Plans, INC.1000No prior authorization
Absolute Total Care, INC.1001No prior authorization
Orange County Health Authority1001No prior authorization

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