Benefily

Does Medicare Part D cover Namzaric?

Namzaric appears on the Medicare Part D formularies of 124 payers in the corpus, across 2,096 plans. 3 payers require prior authorization on every covering plan, 0 on some plans, and 121 on none.

Beyond prior authorization: 49 covering plans require step therapy (another drug tried first) and 69 apply a quantity limit, on at least one Namzaric 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
Aetna (CVS Health)643000No prior authorization
Devoted Health415000No prior authorization
Centene (WellCare)163000No prior authorization
Blue Cross Blue Shield (affiliate)78003No prior authorization
Elevance Health (Anthem)66000No prior authorization
Molina Healthcare51000No prior authorization
Simply Healthcare Plans, INC.50000No prior authorization
Zing Health Of Michigan, INC.33000No prior authorization
Sunshine State Health Plan, INC.24000No prior authorization
Tufts Associated Health Maintenance Organization21000No prior authorization
Capital Advantage Insurance Company21000No prior authorization
Harmony Health Plan, INC.19000No prior authorization
Bluecross Blueshield Of Tennessee, INC.171700Prior authorization required
Superior Healthplan, INC.15000No prior authorization
Central Health Plan Of California, INC.15000No prior authorization
Blue Care Network Of Michigan15000No prior authorization
Clover Health13000No prior authorization
Healthsun Health Plans, INC.13000No prior authorization
Prominence Healthfirst Of Texas1301313No prior authorization
Wellpoint Texas, INC.11000No prior authorization
Mount Carmel Health Plan, INC.11000No prior authorization
Wellpoint Insurance Company11000No prior authorization
Community Insurance Company10000No prior authorization
Compcare Health Services Insurance Corporation10000No prior authorization
Allina Health And Aetna Insurance Company9000No prior authorization
New York Quality Healthcare Corporation9000No prior authorization
Wellpoint Tennessee, INC.9000No prior authorization
Meridian Health Plan Of Michigan, INC.8000No prior authorization
American Progressive Life & Hlth Ins Company Of Ny8000No prior authorization
Mvp Health Plan, INC.8000No prior authorization
Keystone Health Plan East, INC.8000No prior authorization
Prominence Healthfirst8088No prior authorization
Fallon Community Health Plan8008No prior authorization
Health Partners Plans, INC.8000No prior authorization
Viva Health, INC.7000No prior authorization
Martin'S Point Generations Advantage, INC.7000No prior authorization
Summacare INC.7077No prior authorization
Mass General Brigham Health Plan, INC6000No prior authorization
Buckeye Community Health Plan, INC.6000No prior authorization
Christus Health Plan6000No prior authorization
Nebraska Total Care, INC.6000No prior authorization
Gold Kidney Of Florida INC6066No prior authorization
Elderplan, INC.6000No prior authorization
Connecticare, INC.6000No prior authorization
Coordinated Care Of Washington, INC.5000No prior authorization
Hopkins Health Advantage, INC.5000No prior authorization
Coordinated Care Corporation5000No prior authorization
Keystone Health Plan Central, INC.5000No prior authorization
Usable Mutual Insurance Company5000No prior authorization
HMO Colorado, INC.5000No prior authorization
Gold Kidney Of Arizona5055No prior authorization
Meridian Health Plan Of Illinois, INC.5000No prior authorization
Sunflower State Health Plan, INC.5000No prior authorization
Prominence Healthfirst Of Florida INC5055No prior authorization
Arkansas Health & Wellness Health Plan, INC.5000No prior authorization
Hpmp Of Florida, INC.5000No prior authorization
Home State Health Plan, INC.4000No prior authorization
Health New England, INC.4004No prior authorization
Pennsylvania Health & Wellness, INC.4000No prior authorization
Hawaii Medical Service Association4000No prior authorization
Qcc Insurance Company4000No prior authorization
Sharp Health Plan4000No prior authorization
Gateway Health Plan, INC.4004No prior authorization
Clever Care Of Golden State, INC.4000No prior authorization
Amh Health, LLC4000No prior authorization
Metroplus Health Plan, INC.3000No prior authorization
Wellpoint West Virginia , INC.3000No prior authorization
Partners Insurance Company INC3000No prior authorization
Mount Carmel Health Insurance Company3000No prior authorization
Community Care Health Plan Of Louisiana, INC.3000No prior authorization
Trillium Community Health Plan, INC.3000No prior authorization
Senior Whole Health, LLC3000No prior authorization
Wellpoint New Jersey, INC.3000No prior authorization
Volunteer State Health Plan3300Prior authorization required
Independent Health Association, INC.3300Prior authorization required
Paramount Care, INC.3000No prior authorization
Aultcare Health Insuring Corporation3000No prior authorization
Mount Carmel Health Plan Of Idaho, INC.3000No prior authorization
Celtic Insurance Company3000No prior authorization
Amerihealth Insurance Company Of New Jersey3000No prior authorization
Mercy Care3000No prior authorization
Usable HMO, INC.3000No prior authorization
Managed Health Services Insurance CORP.3000No prior authorization
Carepartners Of Connecticut, INC.2000No prior authorization
Amerihealth Caritas Vip Next, INC.2000No prior authorization
Wellpoint Iowa, INC.2000No prior authorization
Commonwealth Care Alliance, INC.2000No prior authorization
Wellpoint Washington, INC.2000No prior authorization
Neighborhood Health Plan Of Rhode Island2000No prior authorization
Village Senior Services Corporation2022No prior authorization
South Country Health Alliance2000No prior authorization
Partners Insurance Company Of New Jersey INC2000No prior authorization
Vista Health Plan, INC.2000No prior authorization
Selectcare Of Texas, INC.2000No prior authorization
Troy Health, INC.2000No prior authorization
Tufts Health Public Plans, INC.2000No prior authorization
Vns Choice2022No prior authorization
Bridgeway Health Solutions Of Arizona, INC.2000No prior authorization
Senior Whole Health Of New York, INC.2000No prior authorization
Nextblue Of North Dakota Insurance Company2000No prior authorization
Missouri Care, Incorporated2000No prior authorization
Trinity Health Plan Of Michigan INC2000No prior authorization
Wyoblue Advantage INC2000No prior authorization
Mount Carmel Health Plan Of New York, INC.2000No prior authorization
Johns Hopkins Health Plan Of Virginia, INC.1000No prior authorization
Wellpoint Health Plans, INC.1000No prior authorization
Community Care Health Plan, INC.1000No prior authorization
Alameda Alliance For Health1000No prior authorization
Itasca Medical Care1000No prior authorization
Amerihealth Caritas Louisiana, INC.1000No prior authorization
Wellpoint South Carolina, INC.1000No prior authorization
Connecticare Insurance Company, INC.1000No prior authorization
Samaritan Health Plans, INC.1001No prior authorization
Select Health Of South Carolina, INC.1000No prior authorization
Contra Costa County Medical Service Dba Contra Costa Health1000No prior authorization
Paramount Insurance Company1000No prior authorization
Absolute Total Care, INC.1000No prior authorization
Health Choice Arizona, INC.1000No prior authorization
Aids Healthcare Foundation1011No prior authorization
Amerihealth Michigan, INC.1000No prior authorization
Amerihealth Caritas Florida, INC.1000No prior authorization
Amerihealth Caritas North Carolina, INC.1000No prior authorization
Hawaii Medical Service Association (Hmsa)1000No prior authorization
Healthfirst Insurance Company, INC.1000No prior authorization

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