Benefily
No prior authorization

Does Aetna (CVS Health) require prior authorization for YF-Vax?

Aetna (CVS Health) does not require prior authorization for YF-Vax on the Medicare Part D plans that cover it.

No covering plan from this payer files a prior-authorization requirement for this drug.

By product strength

RxNorm productPlans coveringRequire prior authStep therapyQty limitStatus
yellow fever virus strain 17D-204 live antigen 4000 UNT/ML Injectable Suspension [YF-Vax]1292828658 / 658000No prior authorization
0.5 ML yellow fever virus strain 17D-204 live antigen 4000 UNT/ML Injection [YF-Vax]1658241658 / 658000No prior authorization

Product names come from RxNorm (U.S. National Library of Medicine).

Plan-by-plan detail — yellow fever virus strain 17D-204 live antigen 4000 UNT/ML Injectable Suspension [YF-Vax]

YF-Vax has 2 products in the corpus; this table is for yellow fever virus strain 17D-204 live antigen 4000 UNT/ML Injectable Suspension [YF-Vax], the one carried on the most plans. The product table above covers every strength.

PlanContractTierPrior authStep therapyQty limit
Aetna Community HealthChoices (HMO D-SNP)H3959-0691NoNoNo
Aetna Community HealthChoices (HMO D-SNP)H3959-0701NoNoNo
Aetna Community HealthChoices (HMO D-SNP)H3959-0711NoNoNo
Aetna Community HealthChoices (HMO D-SNP)H3959-0721NoNoNo
Aetna Community HealthChoices (HMO D-SNP)H3959-0731NoNoNo
Aetna Medicare Advantra (PPO)H1608-0291NoNoNo
Aetna Medicare Advantra (PPO)H7301-0021NoNoNo
Aetna Medicare Advantra Dual (HMO D-SNP)H1692-0051NoNoNo
Aetna Medicare Advantra Dual (HMO D-SNP)H3959-0361NoNoNo
Aetna Medicare Advantra Dual Care (HMO D-SNP)H3959-0351NoNoNo
Aetna Medicare Advantra Elite (HMO)H1692-0031NoNoNo
Aetna Medicare Advantra Enhanced (HMO-POS)H3959-0011NoNoNo
Aetna Medicare Advantra Enhanced (HMO-POS)H3959-0391NoNoNo
Aetna Medicare Advantra Enhanced (PPO)H1608-0271NoNoNo
Aetna Medicare Advantra Extra (PPO)H7301-0061NoNoNo
Aetna Medicare Advantra Premier (HMO-POS)H3959-0021NoNoNo
Aetna Medicare Advantra Premier (PPO)H5522-0021NoNoNo
Aetna Medicare Advantra Premier (PPO)H5522-0141NoNoNo
Aetna Medicare Advantra Prime Plus (HMO-POS)H3959-0531NoNoNo
Aetna Medicare Advantra Signature (HMO-POS)H3959-0101NoNoNo
Aetna Medicare Advantra Signature (HMO-POS)H3959-0371NoNoNo
Aetna Medicare Advantra Signature (HMO-POS)H3959-0521NoNoNo
Aetna Medicare Advantra Signature (HMO)H1692-0021NoNoNo
Aetna Medicare Advantra Signature (HMO)H3959-0551NoNoNo
Aetna Medicare Advantra Signature (PPO)H1608-0401NoNoNo
Aetna Medicare Advantra Signature (PPO)H5522-0041NoNoNo
Aetna Medicare Advantra Signature Giveback (PPO)H1608-0311NoNoNo
Aetna Medicare Advantra Signature Giveback (PPO)H5522-0171NoNoNo
Aetna Medicare Advantra Signature Plus (HMO-POS)H3959-0111NoNoNo
Aetna Medicare Advantra Signature Plus (HMO-POS)H3959-0321NoNoNo
Aetna Medicare Carilion Health Prime (HMO-POS)H3931-1581NoNoNo
Aetna Medicare Chronic Care (HMO C-SNP)H0628-0361NoNoNo
Aetna Medicare Chronic Care (HMO C-SNP)H0628-0371NoNoNo
Aetna Medicare Chronic Care (HMO C-SNP)H0628-0381NoNoNo
Aetna Medicare Chronic Care (HMO C-SNP)H0628-0391NoNoNo
Aetna Medicare Chronic Care (HMO C-SNP)H1609-0801NoNoNo
Aetna Medicare Chronic Care (HMO C-SNP)H1609-0811NoNoNo
Aetna Medicare Chronic Care (HMO C-SNP)H1609-0821NoNoNo
Aetna Medicare Chronic Care (HMO C-SNP)H1609-0831NoNoNo
Aetna Medicare Chronic Care (HMO C-SNP)H1609-0841NoNoNo
Aetna Medicare Chronic Care (HMO C-SNP)H1609-0851NoNoNo
Aetna Medicare Chronic Care (HMO C-SNP)H1609-0941NoNoNo
Aetna Medicare Chronic Care (HMO C-SNP)H2663-0981NoNoNo
Aetna Medicare Chronic Care (HMO C-SNP)H2663-1001NoNoNo
Aetna Medicare Chronic Care (HMO C-SNP)H2663-1021NoNoNo
Aetna Medicare Chronic Care (HMO C-SNP)H3146-0371NoNoNo
Aetna Medicare Chronic Care (HMO C-SNP)H3146-0381NoNoNo
Aetna Medicare Chronic Care (HMO C-SNP)H3192-0331NoNoNo
Aetna Medicare Chronic Care (HMO C-SNP)H3239-0301NoNoNo
Aetna Medicare Chronic Care (HMO C-SNP)H3312-0911NoNoNo
Aetna Medicare Chronic Care (HMO C-SNP)H3931-1911NoNoNo
Aetna Medicare Chronic Care (HMO C-SNP)H3959-0761NoNoNo
Aetna Medicare Chronic Care (HMO C-SNP)H3959-0841NoNoNo
Aetna Medicare Chronic Care (HMO C-SNP)H5302-0261NoNoNo
Aetna Medicare Chronic Care (PPO C-SNP)H2293-0351NoNoNo
Aetna Medicare Chronic Care Total (HMO C-SNP)H0628-0311NoNoNo
Aetna Medicare Chronic Care Total (HMO C-SNP)H0628-0321NoNoNo
Aetna Medicare Chronic Care Total (HMO C-SNP)H0628-0331NoNoNo
Aetna Medicare Chronic Care Total (HMO C-SNP)H0628-0341NoNoNo
Aetna Medicare Chronic Care Total (HMO C-SNP)H0628-0351NoNoNo
Aetna Medicare Chronic Care Total (HMO C-SNP)H2663-0991NoNoNo
Aetna Medicare Chronic Care Total (HMO C-SNP)H3146-0361NoNoNo
Aetna Medicare Chronic Care Total (HMO C-SNP)H3192-0281NoNoNo
Aetna Medicare Chronic Care Total (HMO C-SNP)H3192-0291NoNoNo
Aetna Medicare Chronic Care Total (HMO C-SNP)H3959-0831NoNoNo
Aetna Medicare Chronic Care Value (HMO C-SNP)H3146-0441NoNoNo
Aetna Medicare Chronic Care Value (HMO C-SNP)H3959-0741NoNoNo
Aetna Medicare Chronic Care Value (HMO C-SNP)H3959-0751NoNoNo
Aetna Medicare Chronic Care Value (HMO C-SNP)H3959-0851NoNoNo
Aetna Medicare Dual (HMO D-SNP)H3146-0021NoNoNo
Aetna Medicare Dual (HMO D-SNP)H4711-0131NoNoNo
Aetna Medicare Dual (HMO D-SNP)H5325-0041NoNoNo
Aetna Medicare Dual (HMO D-SNP)H5325-0051NoNoNo
Aetna Medicare Dual (HMO D-SNP)H5325-0061NoNoNo
Aetna Medicare Dual (PPO D-SNP)H1608-0621NoNoNo
Aetna Medicare Dual (PPO D-SNP)H1608-0771NoNoNo
Aetna Medicare Dual Care (HMO D-SNP)H0628-0131NoNoNo
Aetna Medicare Dual Care (HMO D-SNP)H3239-0101NoNoNo
Aetna Medicare Dual Care (HMO D-SNP)H3239-0121NoNoNo
Aetna Medicare Dual Care (HMO D-SNP)H3239-0231NoNoNo
Aetna Medicare Dual Care (HMO D-SNP)H4711-0121NoNoNo
Aetna Medicare Dual Care (HMO D-SNP)H5302-0201NoNoNo
Aetna Medicare Dual Care (HMO D-SNP)H5325-0031NoNoNo
Aetna Medicare Dual Care (HMO D-SNP)H5593-0011NoNoNo
Aetna Medicare Dual Care (HMO D-SNP)H7149-0061NoNoNo
Aetna Medicare Dual Care (HMO D-SNP)H8597-0011NoNoNo
Aetna Medicare Dual Care (HMO D-SNP)H8597-0021NoNoNo
Aetna Medicare Dual Care (HMO D-SNP)H8597-0031NoNoNo
Aetna Medicare Dual Care (PPO D-SNP)H2293-0041NoNoNo
Aetna Medicare Dual Care (PPO D-SNP)H3288-0531NoNoNo
Aetna Medicare Dual Care (PPO D-SNP)H5521-4651NoNoNo
Aetna Medicare Dual Care (PPO D-SNP)H5521-4721NoNoNo
Aetna Medicare Dual Extra (HMO D-SNP)H3239-0051NoNoNo
Aetna Medicare Dual Extra (PPO D-SNP)H1608-0761NoNoNo
Aetna Medicare Dual Extra (PPO D-SNP)H2293-0211NoNoNo
Aetna Medicare Dual Extra Care (HMO D-SNP)H3239-0011NoNoNo
Aetna Medicare Dual Extra Care (HMO D-SNP)H3239-0021NoNoNo
Aetna Medicare Dual Extra Care (HMO D-SNP)H3239-0071NoNoNo
Aetna Medicare Dual Extra Care (HMO D-SNP)H3239-0151NoNoNo
Aetna Medicare Dual Extra Care (HMO D-SNP)H3931-1751NoNoNo
Showing 100 of 658 covering plans.
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.

YF-Vax at other payers

Or see YF-Vax across every payer at once.

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.