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Does Medicare Part D cover Neupro?

Neupro appears on the Medicare Part D formularies of 125 payers in the corpus, across 1,839 plans. 2 payers require prior authorization on every covering plan, 0 on some plans, and 123 on none.

Beyond prior authorization: 33 covering plans require step therapy (another drug tried first) and 293 apply a quantity limit, on at least one Neupro 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
UnitedHealthcare731000No prior authorization
Centene (WellCare)163000No prior authorization
SCAN Health Plan740074No prior authorization
Blue Cross Blue Shield (affiliate)53000No prior authorization
Simply Healthcare Plans, INC.500050No prior authorization
Uhc Of California40000No prior authorization
Preferred Care Partners, INC.35000No prior authorization
Solis Health Plans, INC.24000No prior authorization
Sunshine State Health Plan, INC.24000No prior authorization
Freedom Health, INC.240024No prior authorization
Capital Advantage Insurance Company23000No prior authorization
Triple S Advantage, INC.222200Prior authorization required
Physicians Health Choice Of Texas, LLC22000No prior authorization
Mmm Healthcare, LLC200020No prior authorization
Mcs Advantage, INC.20000No prior authorization
Health Care Service Corporation19000No prior authorization
Harmony Health Plan, INC.19000No prior authorization
Medica Health Plans17000No prior authorization
Excellus Health Plan, INC.160016No prior authorization
Medical Mutual Of Ohio16000No prior authorization
Superior Healthplan, INC.15000No prior authorization
Optimum Healthcare, INC.150015No prior authorization
Peoples Health, INC.13000No prior authorization
Healthsun Health Plans, INC.130013No prior authorization
Prominence Healthfirst Of Texas130013No prior authorization
HMO Louisiana, INC.12000No prior authorization
Hcsc Insurance Services Company11000No prior authorization
Aetna (CVS Health)10000No prior authorization
Doctors Healthcare Plans, INC.9099No prior authorization
New York Quality Healthcare Corporation9000No prior authorization
Meridian Health Plan Of Michigan, INC.8000No prior authorization
Healthpartners, INC.8000No prior authorization
American Progressive Life & Hlth Ins Company Of Ny8000No prior authorization
Keystone Health Plan East, INC.8000No prior authorization
Network Health Insurance Corporation8000No prior authorization
Prominence Healthfirst8008No prior authorization
Health Alliance Plan Of Michigan7000No prior authorization
Medica Insurance Company7000No prior authorization
Summacare INC.7077No prior authorization
Keystone Health Plan Central, INC.7000No prior authorization
Essence Healthcare PPO, INC.7000No prior authorization
Buckeye Community Health Plan, INC.6000No prior authorization
Nebraska Total Care, INC.6000No prior authorization
Gold Kidney Of Florida INC6066No prior authorization
Essence Healthcare, INC.6000No prior authorization
Presbyterian Health Plan6006No prior authorization
Preferred Care Network, INC.6000No prior authorization
Scott And White Health Plan6000No prior authorization
Coordinated Care Of Washington, INC.5000No prior authorization
Alliance Health And Life Insurance Company5000No prior authorization
Independent Health Association, INC.5005No prior authorization
Coordinated Care Corporation5000No 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 INC5005No prior authorization
Arkansas Health & Wellness Health Plan, INC.5000No prior authorization
Home State Health Plan, INC.4000No prior authorization
Baylor Scott & White Insurance Company4000No prior authorization
Pennsylvania Health & Wellness, INC.4000No prior authorization
Sapphire Edge, INC.4000No prior authorization
The Health Plan Of West Virginia, INC.4000No prior authorization
Qcc Insurance Company4000No prior authorization
Leon Health, INC.4004No prior authorization
Boston Medical Center Health Plan, INC.4000No prior authorization
Bluecross Blueshield Kansas Solutions, INC.4000No prior authorization
Thp Insurance Company4000No prior authorization
Louisiana Health Service & Indemnity Company3000No prior authorization
Trillium Community Health Plan, INC.3000No prior authorization
Capital District Physicians' Health Plan, INC.3003No prior authorization
Celtic Insurance Company3000No prior authorization
Amerihealth Insurance Company Of New Jersey3000No prior authorization
Central Mass Health, LLC3000No prior authorization
Ghs Insurance Company3000No prior authorization
Managed Health Services Insurance CORP.3000No prior authorization
Medco Containment Life & Medco Containment Ny & Health Care3000No prior authorization
Hamaspik, INC.2000No prior authorization
Arizona Physicians Ipa, INC.2000No prior authorization
Amerihealth Caritas Vip Next, INC.2000No prior authorization
Florida Blue Medicare, INC.2200Prior authorization required
Village Senior Services Corporation2022No prior authorization
South Country Health Alliance2000No prior authorization
Vista Health Plan, INC.2000No prior authorization
Selectcare Of Texas, INC.2000No prior authorization
Troy Health, INC.2000No prior authorization
Banner - University Care Advantage2000No prior authorization
Vns Choice2022No prior authorization
Bridgeway Health Solutions Of Arizona, INC.2000No prior authorization
Community Health Plan Of Washington2000No prior authorization
Capital Health Plan2000No prior authorization
Healthpartners Insurance Company2000No prior authorization
Elderserve Health, INC.2000No prior authorization
Excellus Health Plan Community Care LLC2002No prior authorization
Group Health Cooperative Of Eau Claire2000No prior authorization
Caresource Georgia CO.2000No 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
Longevity Health Plan Of Florida, INC.1000No prior authorization
Community Care Health Plan, INC.1000No prior authorization
Alameda Alliance For Health1000No prior authorization
HMO Minnesota1000No prior authorization
Amerihealth Caritas Louisiana, INC.1000No prior authorization
Upper Peninsula Health Plan, LLC1000No prior authorization
Independent Health Benefits Corporation1001No prior authorization
Samaritan Health Plans, INC.1000No prior authorization
Ghs Health Maintenance Organization, INC.1000No prior authorization
Hap Caresource1000No prior authorization
Select Health Of South Carolina, INC.1000No prior authorization
Contra Costa County Medical Service Dba Contra Costa Health1000No prior authorization
Absolute Total Care, INC.1000No prior authorization
Longevity Health Plan Of North Carolina, INC.1000No prior authorization
Orange County Health Authority1001No prior authorization
Banner Health Plan, INC.1000No prior authorization
Aids Healthcare Foundation1011No prior authorization
San Mateo Health Commission1011No prior authorization
Amerihealth Michigan, INC.1000No prior authorization
Amerihealth Caritas Florida, INC.1000No prior authorization
Caresource Ohio, INC.1000No prior authorization
Longevity Health Plan Of Michigan, INC.1000No prior authorization
Amerihealth Caritas North Carolina, INC.1000No prior authorization
Longevity Health Plan Of New York, INC.1000No prior authorization
Longevity Health Plan Of Illinois, INC.1000No prior authorization
Ventura County Medi-Cal Managed Care Commission1000No prior authorization
Horizon Insurance Company1000No prior authorization

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