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Does Medicare Part D cover Vascepa?

Vascepa appears on the Medicare Part D formularies of 130 payers in the corpus, across 4,171 plans. 0 payers require prior authorization on every covering plan, 0 on some plans, and 130 on none.

Beyond prior authorization: 0 covering plans require step therapy (another drug tried first) and 1,239 apply a quantity limit, on at least one Vascepa 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
Humana81700817No prior authorization
UnitedHealthcare731000No prior authorization
Aetna (CVS Health)643000No prior authorization
Devoted Health415000No prior authorization
Centene (WellCare)197000No prior authorization
Blue Cross Blue Shield (affiliate)1290062No prior authorization
SCAN Health Plan74000No prior authorization
Elevance Health (Anthem)67000No prior authorization
Alignment Healthcare670067No prior authorization
Molina Healthcare51000No prior authorization
Simply Healthcare Plans, INC.50000No prior authorization
Cariten Health Plan INC.440044No prior authorization
Uhc Of California40000No prior authorization
Careplus Health Plans, INC.360036No prior authorization
Preferred Care Partners, INC.35000No prior authorization
Zing Health Of Michigan, INC.33000No prior authorization
Health Care Service Corporation310031No prior authorization
Solis Health Plans, INC.240024No prior authorization
Sunshine State Health Plan, INC.24000No prior authorization
Freedom Health, INC.24000No prior authorization
Capital Advantage Insurance Company230023No prior authorization
Physicians Health Choice Of Texas, LLC22000No prior authorization
Mmm Healthcare, LLC200020No prior authorization
Harmony Health Plan, INC.19000No prior authorization
Hcsc Insurance Services Company180018No prior authorization
Bluecross Blueshield Of Tennessee, INC.17000No prior authorization
Wellpoint Texas, INC.16000No prior authorization
Superior Healthplan, INC.15000No prior authorization
Optimum Healthcare, INC.15000No prior authorization
Central Health Plan Of California, INC.15000No prior authorization
Wellpoint Insurance Company14000No prior authorization
Florida Blue Medicare, INC.130013No prior authorization
Peoples Health, INC.13000No prior authorization
Clover Health13000No prior authorization
Healthsun Health Plans, INC.13000No prior authorization
Mount Carmel Health Plan, INC.11000No prior authorization
Community Insurance Company10000No prior authorization
Health Insurance Plan Of Greater New York100010No prior authorization
HMO Colorado, INC.10000No 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
Healthier New Jersey Insurance Company8008No 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
Health Partners Plans, INC.8000No prior authorization
Medco Containment Life & Medco Containment Ny & Health Care8008No prior authorization
Viva Health, INC.7000No prior authorization
Martin'S Point Generations Advantage, INC.7000No prior authorization
Wellpoint Health Plans, INC.7000No prior authorization
Keystone Health Plan Central, INC.7007No prior authorization
Buckeye Community Health Plan, INC.6000No prior authorization
Christus Health Plan6000No prior authorization
Nebraska Total Care, 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 Plan6006No prior authorization
Coordinated Care Of Washington, INC.5000No prior authorization
Hopkins Health Advantage, INC.5000No prior authorization
Sapphire Edge, INC.5005No 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 Company4004No prior authorization
Health New England, INC.4000No prior authorization
Pennsylvania Health & Wellness, INC.4000No prior authorization
Hawaii Medical Service Association4000No prior authorization
Keystone Health Plan East, INC.4000No prior authorization
Sharp Health Plan4000No prior authorization
Gateway Health Plan, INC.4004No prior authorization
Capital Health Plan4004No prior authorization
Bluecross Blueshield Kansas Solutions, INC.4004No prior authorization
Clever Care Of Golden State, INC.4000No prior authorization
Ghs Insurance Company4004No prior authorization
Amh Health, LLC4000No prior authorization
Metroplus Health Plan, INC.3000No prior authorization
Wellpoint West Virginia , INC.3000No prior authorization
Patrius Health, INC.3003No 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 Plan3000No prior authorization
Independent Health Association, INC.3003No prior authorization
Paramount Care, INC.3000No prior authorization
Mount Carmel Health Plan Of Idaho, INC.3000No prior authorization
Celtic Insurance Company3000No prior authorization
Mercy Care3000No prior authorization
Usable HMO, INC.3000No prior authorization
Central Mass Health, LLC3003No prior authorization
Managed Health Services Insurance CORP.3000No prior authorization
Hamaspik, INC.2002No prior authorization
Arizona Physicians Ipa, 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
Partners Insurance Company Of New Jersey INC2000No prior authorization
Qcc Insurance Company2000No prior authorization
Selectcare Of Texas, INC.2000No prior authorization
Bridgeway Health Solutions Of Arizona, INC.2000No prior authorization
Senior Whole Health Of New York, INC.2000No prior authorization
Missouri Care, Incorporated2000No prior authorization
Memorial Hermann Health Plan2002No prior authorization
Trinity Health Plan Of Michigan INC2000No prior authorization
Mount Carmel Health Plan Of New York, INC.2000No prior authorization
Horizon Insurance Company2002No prior authorization
Johns Hopkins Health Plan Of Virginia, INC.1000No prior authorization
Independent Care Health Plan1001No prior authorization
Itasca Medical Care1000No prior authorization
HMO Minnesota1001No prior authorization
Wellpoint South Carolina, INC.1000No prior authorization
Connecticare Insurance Company, INC.1000No prior authorization
Ghs Health Maintenance Organization, INC.1001No prior authorization
Paramount Insurance Company1000No prior authorization
Absolute Total Care, INC.1000No prior authorization
Health Choice Arizona, INC.1000No prior authorization
Horizon Healthcare Of New Jersey, INC.1001No prior authorization
Hawaii Medical Service Association (Hmsa)1000No prior authorization
Ventura County Medi-Cal Managed Care Commission1001No prior authorization
Healthfirst Insurance Company, INC.1000No prior authorization

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