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Does Medicare Part D cover Teflaro?

Teflaro appears on the Medicare Part D formularies of 186 payers in the corpus, across 4,590 plans. 31 payers require prior authorization on every covering plan, 0 on some plans, and 155 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 authStep therapyQuantity limitStatus
Humana817000No prior authorization
UnitedHealthcare731000No prior authorization
Aetna (CVS Health)653000No prior authorization
Devoted Health415000No prior authorization
Centene (WellCare)197000No prior authorization
Cigna17117100Prior authorization required
Blue Cross Blue Shield (affiliate)119000No prior authorization
Kaiser Permanente115000No prior authorization
SCAN Health Plan74000No prior authorization
Alignment Healthcare67000No prior authorization
Medco Containment Life And Medco Containment Ny606000Prior authorization required
Molina Healthcare51000No prior authorization
Cariten Health Plan INC.44000No prior authorization
Uhc Of California40000No prior authorization
Careplus Health Plans, INC.36000No prior authorization
Bravo Health Pennsylvania, INC.353500Prior authorization required
Preferred Care Partners, INC.35000No prior authorization
Zing Health Of Michigan, INC.33000No prior authorization
Health Care Service Corporation31000No prior authorization
Solis Health Plans, INC.24000No prior authorization
Sunshine State Health Plan, INC.24000No prior authorization
Capital Advantage Insurance Company23000No prior authorization
Triple S Advantage, INC.222200Prior authorization required
Physicians Health Choice Of Texas, LLC22000No prior authorization
Tufts Associated Health Maintenance Organization21000No prior authorization
Harmony Health Plan, INC.19000No prior authorization
Hcsc Insurance Services Company18000No prior authorization
Medica Health Plans171700Prior authorization required
Bluecross Blueshield Of Tennessee, INC.17000No prior authorization
Ultimate Health Plans, INC.16000No prior authorization
Excellus Health Plan, INC.16000No prior authorization
Medical Mutual Of Ohio161600Prior authorization required
Superior Healthplan, INC.15000No prior authorization
Florida Blue Medicare, INC.15000No prior authorization
Central Health Plan Of California, INC.15000No prior authorization
Blue Care Network Of Michigan15000No prior authorization
Selecthealth, INC.14000No prior authorization
Peoples Health, INC.13000No prior authorization
Clover Health13000No prior authorization
HMO Louisiana, INC.121200Prior authorization required
Mount Carmel Health Plan, INC.11000No prior authorization
Health Insurance Plan Of Greater New York10000No prior authorization
Sanford Health Plan9000No prior authorization
Allina Health And Aetna Insurance Company9000No prior authorization
New York Quality Healthcare Corporation9000No prior authorization
Healthier New Jersey Insurance Company8000No 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
Health Partners Plans, INC.8000No prior authorization
Medco Containment Life & Medco Containment Ny & Health Care8000No prior authorization
Viva Health, INC.7000No prior authorization
Martin'S Point Generations Advantage, INC.7000No prior authorization
Bravo Health Mid-Atlantic, INC.7700Prior authorization required
Health Alliance Plan Of Michigan7000No prior authorization
Medica Insurance Company7700Prior authorization required
Keystone Health Plan Central, INC.7000No prior authorization
Essence Healthcare PPO, INC.7700Prior authorization required
Bluecross And Blueshield Of South Carolina7000No prior authorization
Buckeye Community Health Plan, INC.6000No prior authorization
Christus Health Plan6000No prior authorization
Nebraska Total Care, INC.6000No prior authorization
Essence Healthcare, INC.6600Prior authorization required
Hometown Health Plan, INC.6000No prior authorization
Elderplan, INC.6000No prior authorization
Connecticare, INC.6000No prior authorization
Preferred Care Network, INC.6000No prior authorization
Scott And White Health Plan6000No prior authorization
Coordinated Care Of Washington, INC.5000No prior authorization
Hopkins Health Advantage, INC.5000No prior authorization
Alliance Health And Life Insurance Company5000No prior authorization
Sapphire Edge, INC.5000No prior authorization
Coordinated Care Corporation5000No prior authorization
Usable Mutual Insurance Company5000No prior authorization
Meridian Health Plan Of Illinois, INC.5000No prior authorization
Sunflower State Health Plan, INC.5000No 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
Baylor Scott & White Insurance Company4000No prior authorization
Care N' Care Insurance Company Of North Carolina4000No prior authorization
Health New England, INC.4000No prior authorization
Pennsylvania Health & Wellness, INC.4000No prior authorization
The Health Plan Of West Virginia, INC.4400Prior authorization required
Hawaii Medical Service Association4000No prior authorization
Qcc Insurance Company4000No prior authorization
Security Health Plan Of Wisconsin, INC.4000No prior authorization
Sharp Health Plan4000No prior authorization
Capital Health Plan4000No prior authorization
Boston Medical Center Health Plan, INC.4400Prior authorization required
Bluecross Blueshield Kansas Solutions, INC.4000No prior authorization
Clever Care Of Golden State, INC.4000No prior authorization
Central Mass Health, LLC4000No prior authorization
Ghs Insurance Company4000No prior authorization
Thp Insurance Company4400Prior authorization required
Medisun, INC.3000No prior authorization
Metroplus Health Plan, INC.3000No prior authorization
Louisiana Health Service & Indemnity Company3300Prior authorization required
Eternalhealth, INC.3000No prior authorization
Patrius Health, INC.3000No prior authorization
Partners Insurance Company INC3000No prior authorization
Mount Carmel Health Insurance Company3000No prior authorization
Trillium Community Health Plan, INC.3000No prior authorization
Senior Whole Health, LLC3000No prior authorization
Volunteer State Health Plan3000No prior authorization
Capital District Physicians' Health Plan, INC.3000No prior authorization
Eternalhealth Of Arizona INC3000No prior authorization
Paramount Care, INC.3000No prior authorization
Mount Carmel Health Plan Of Idaho, INC.3000No prior authorization
Provider Partners Health Plan Of Pennsylvania, INC3000No prior authorization
Provider Partners Health Plan Of North Carolina3000No prior authorization
Provider Partners Health Plan Of Indiana3000No 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
Provider Partners Health Plan Of Missouri, INC.3000No prior authorization
Hamaspik, INC.2000No prior authorization
Arizona Physicians Ipa, INC.2000No prior authorization
Carepartners Of Connecticut, INC.2000No prior authorization
Amerihealth Caritas Vip Next, INC.2000No prior authorization
Beshp, INC.2000No prior authorization
Commonwealth Care Alliance, INC.2000No prior authorization
Neighborhood Health Plan Of Rhode Island2000No prior authorization
South Country Health Alliance2000No prior authorization
Partners Insurance Company Of New Jersey INC2000No prior authorization
Sanford Health Plan Of Minnesota2000No 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 Advantage2200Prior authorization required
Tufts Health Public Plans, INC.2000No prior authorization
Bridgeway Health Solutions Of Arizona, INC.2000No prior authorization
Community Health Plan Of Washington2200Prior authorization required
Senior Whole Health Of New York, INC.2000No prior authorization
Nextblue Of North Dakota Insurance Company2000No prior authorization
Elderserve Health, INC.2200Prior authorization required
Memorial Hermann Health Plan2000No prior authorization
Good Samaritan Insurance Plan Of Nebraska, INC.2000No prior authorization
Excellus Health Plan Community Care LLC2000No prior authorization
Group Health Cooperative Of Eau Claire2200Prior authorization required
Caresource Georgia CO.2200Prior authorization required
Trinity Health Plan Of Michigan INC2000No prior authorization
Wyoblue Advantage INC2000No prior authorization
Mount Carmel Health Plan Of New York, INC.2000No prior authorization
Longevity Health Plan Of New Jersey Insurance Comp2200Prior authorization required
Elevance Health (Anthem)2000No prior authorization
Horizon Insurance Company2000No prior authorization
Longevity Health Plan Of Colorado, INC.1100Prior authorization required
Johns Hopkins Health Plan Of Virginia, INC.1000No prior authorization
Longevity Health Plan Of Florida, INC.1100Prior authorization required
Community Care Health Plan, INC.1000No prior authorization
Alameda Alliance For Health1000No prior authorization
Independent Care Health Plan1000No prior authorization
Itasca Medical Care1000No prior authorization
HMO Minnesota1000No prior authorization
Amerihealth Caritas Louisiana, INC.1000No prior authorization
Upper Peninsula Health Plan, LLC1100Prior authorization required
Connecticare Insurance Company, INC.1000No prior authorization
Provider Partners Health Plan Of Illinois1000No prior authorization
Ghs Health Maintenance Organization, INC.1000No prior authorization
Provider Partners Health Plan Of Texas, INC.1000No prior authorization
Hap Caresource1100Prior authorization required
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
Longevity Health Plan Of North Carolina, INC.1100Prior authorization required
Health Choice Arizona, INC.1000No prior authorization
Banner Health Plan, INC.1100Prior authorization required
Alohacare1000No prior authorization
Amerihealth Michigan, INC.1000No prior authorization
Amerihealth Caritas Florida, INC.1000No prior authorization
Caresource Ohio, INC.1100Prior authorization required
Provider Partners Health Plan Of Kentucky1000No prior authorization
Longevity Health Plan Of Michigan, INC.1100Prior authorization required
Amerihealth Caritas North Carolina, INC.1000No prior authorization
Horizon Healthcare Of New Jersey, INC.1000No prior authorization
Longevity Health Plan Of New York, INC.1100Prior authorization required
Hawaii Medical Service Association (Hmsa)1000No prior authorization
Healthy Mississippi, INC.1000No prior authorization
Longevity Health Plan Of Illinois, INC.1100Prior authorization required
Ventura County Medi-Cal Managed Care Commission1000No prior authorization
Healthfirst Insurance Company, INC.1000No prior authorization

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