Benefily

Clover Health prior authorization requirements

Drug-by-drug prior authorization status for Clover Health’s Medicare Part D plans, taken from the formularies it files with CMS, effective 2026-06-30.

Commonly checked drugs

CMS contract entities grouped under this brand

CMS files name the legal entity, not the brand a person searches for. These are the entities we group under “Clover Health”, so you can check the grouping yourself.

  • CLOVER HMO OF NEW JERSEY INC.
  • CLOVER INSURANCE COMPANY