Does Alterwood Advantage, INC. require prior authorization for Inqovi 5 Tablet Pack?
Alterwood Advantage, INC. requires prior authorization for Inqovi 5 Tablet Pack on every Medicare Part D plan of theirs that covers it.
Every plan from this payer that covers the drug requires authorization before it is dispensed.
By product strength
| RxNorm product | Plans covering | Require prior auth | Step therapy | Qty limit | Status |
|---|---|---|---|---|---|
| {5 (cedazuridine 100 MG / decitabine 35 MG Oral Tablet [Inqovi]) } Pack [Inqovi 5 Tablet Pack]2384465 | 7 / 7 | 7 | 0 | 7 | Prior authorization required |
Product names come from RxNorm (U.S. National Library of Medicine).
Plan-by-plan detail — {5 (cedazuridine 100 MG / decitabine 35 MG Oral Tablet [Inqovi]) } Pack [Inqovi 5 Tablet Pack]
| Plan | Contract | Tier | Prior auth | Step therapy | Qty limit |
|---|---|---|---|---|---|
| Alterwood Advantage Choice (HMO) | H9306-008 | 5 | Yes | No | Yes |
| Alterwood Advantage Choice (HMO) | H9306-008 | 5 | Yes | No | Yes |
| Alterwood Advantage Choice Plus (HMO) | H9306-002 | 5 | Yes | No | Yes |
| Alterwood Advantage Dual Secure (HMO D-SNP) | H9306-004 | 1 | Yes | No | Yes |
| Alterwood Advantage Dual Value (HMO D-SNP) | H9306-007 | 1 | Yes | No | Yes |
| Alterwood Advantage Select (HMO) | H9306-009 | 5 | Yes | No | Yes |
| Alterwood Advantage Select (HMO) | H9306-009 | 5 | Yes | No | Yes |
- Effective
- 2026-06-30
- Retrieved
- 2026-07-19
- SHA-256
- e626e6bcda1aa6a0071e6f0df6bafe686ae41842cdf0a9feffdc649b6d3ff3ae
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Inqovi 5 Tablet Pack 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.