Varies by plan

Does Arizona Physicians Ipa, INC. require prior authorization for Austedo?

Prior authorization for Austedo differs across Arizona Physicians Ipa, INC.'s Medicare Part D plans and product strengths — 3 of 11 Austedo 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.

By product strength

RxNorm product	Plans covering	Require prior auth	Status
deutetrabenazine 12 MG Oral Tablet [Austedo]1876916	2 / 2	2	Prior authorization required
deutetrabenazine 6 MG Oral Tablet [Austedo]1876920	2 / 2	2	Prior authorization required
deutetrabenazine 9 MG Oral Tablet [Austedo]1876924	2 / 2	2	Prior authorization required
24 HR deutetrabenazine 12 MG Extended Release Oral Tablet [Austedo]2630147	0 / 2	0	Not on formulary
24 HR deutetrabenazine 24 MG Extended Release Oral Tablet [Austedo]2630153	0 / 2	0	Not on formulary
24 HR deutetrabenazine 6 MG Extended Release Oral Tablet [Austedo]2630157	0 / 2	0	Not on formulary
24 HR deutetrabenazine 30 MG Extended Release Oral Tablet [Austedo]2683285	0 / 2	0	Not on formulary
24 HR deutetrabenazine 36 MG Extended Release Oral Tablet [Austedo]2683291	0 / 2	0	Not on formulary
24 HR deutetrabenazine 42 MG Extended Release Oral Tablet [Austedo]2683297	0 / 2	0	Not on formulary
24 HR deutetrabenazine 48 MG Extended Release Oral Tablet [Austedo]2683303	0 / 2	0	Not on formulary
24 HR deutetrabenazine 18 MG Extended Release Oral Tablet [Austedo]2686156	0 / 2	0	Not on formulary

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

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.

Austedo at other payers

Or see Austedo 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.