Benefily
No prior authorization

Does Allina Health And Aetna Insurance Company require prior authorization for Jantoven?

Allina Health And Aetna Insurance Company does not require prior authorization for Jantoven on the Medicare Part D plans that cover it.

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

  • This drug does not appear on any of this payer's Medicare Part D formularies. That means it is NOT COVERED under those plans — which is a different and generally worse outcome than requiring prior authorization. An exception or formulary-exception request may still be possible.

By product strength

RxNorm productPlans coveringRequire prior authStep therapyQty limitStatus
warfarin sodium 1 MG Oral Tablet [Jantoven]8552929 / 9000No prior authorization
warfarin sodium 10 MG Oral Tablet [Jantoven]8553009 / 9000No prior authorization
warfarin sodium 2 MG Oral Tablet [Jantoven]8553069 / 9000No prior authorization
warfarin sodium 2.5 MG Oral Tablet [Jantoven]8553167 / 9000No prior authorization
warfarin sodium 3 MG Oral Tablet [Jantoven]8553220 / 9000Not on formulary
warfarin sodium 4 MG Oral Tablet [Jantoven]8553280 / 9000Not on formulary
warfarin sodium 5 MG Oral Tablet [Jantoven]8553360 / 9000Not on formulary
warfarin sodium 6 MG Oral Tablet [Jantoven]8553420 / 9000Not on formulary
warfarin sodium 7.5 MG Oral Tablet [Jantoven]8553480 / 9000Not on formulary

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

Plan-by-plan detail — warfarin sodium 1 MG Oral Tablet [Jantoven]

Jantoven has 9 products in the corpus; this table is for warfarin sodium 1 MG Oral Tablet [Jantoven], the one carried on the most plans. The product table above covers every strength.

PlanContractTierPrior authStep therapyQty limit
Allina Health Aetna Medicare Chronic (PPO C-SNP)H3219-0151NoNoNo
Allina Health Aetna Medicare Enhanced (PPO)H3219-0021NoNoNo
Allina Health Aetna Medicare Enhanced (PPO)H3219-0141NoNoNo
Allina Health Aetna Medicare Grand (PPO)H3219-0031NoNoNo
Allina Health Aetna Medicare Grand Extra (PPO)H3219-0041NoNoNo
Allina Health Aetna Medicare Signature (PPO)H3219-0011NoNoNo
Allina Health Aetna Medicare Signature (PPO)H3219-0121NoNoNo
Allina Health Aetna Medicare Signature Fit (PPO)H3219-0081NoNoNo
Allina Health Aetna Medicare Value (PPO C-SNP)H3219-0161NoNoNo
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.

Jantoven at other payers

Or see Jantoven 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.