Does Aetna (CVS Health) require prior authorization for Spritam?
Prior authorization for Spritam differs across Aetna (CVS Health)'s Medicare Part D plans and product strengths — 2 of 2 Spritam products in the corpus appear on their formularies, and the requirement is not uniform. Check the member's specific plan.
Some plans require authorization and others do not. The member's specific plan decides.
- Prior authorization requirements differ across this payer's plans: 5 of 658 covering plans require it. Check the specific plan the member is enrolled in — the plan name and contract number are on their insurance card.
By product strength
| RxNorm product | Plans covering | Require prior auth | Status |
|---|---|---|---|
| levetiracetam 250 MG Tablet for Oral Suspension [Spritam]1736047 | 658 / 658 | 5 | Varies by plan |
| levetiracetam 500 MG Tablet for Oral Suspension [Spritam]1736050 | 658 / 658 | 5 | Varies by plan |
Product names come from RxNorm (U.S. National Library of Medicine).
- Effective
- 2026-06-30
- Retrieved
- 2026-07-19
- SHA-256
- e626e6bcda1aa6a0071e6f0df6bafe686ae41842cdf0a9feffdc649b6d3ff3ae
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Spritam at other payers
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.