Does Astiva Health, INC. require prior authorization for Phenytek?
Astiva Health, INC. does not require prior authorization for Phenytek 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 product | Plans covering | Require prior auth | Step therapy | Qty limit | Status |
|---|---|---|---|---|---|
| phenytoin sodium 200 MG Extended Release Oral Capsule [Phenytek]855863 | 7 / 7 | 0 | 0 | 0 | No prior authorization |
| phenytoin sodium 300 MG Extended Release Oral Capsule [Phenytek]855875 | 7 / 7 | 0 | 0 | 0 | No prior authorization |
Product names come from RxNorm (U.S. National Library of Medicine).
Plan-by-plan detail — phenytoin sodium 200 MG Extended Release Oral Capsule [Phenytek]
Phenytek has 2 products in the corpus; this table is for phenytoin sodium 200 MG Extended Release Oral Capsule [Phenytek], the one carried on the most plans. The product table above covers every strength.
| Plan | Contract | Tier | Prior auth | Step therapy | Qty limit |
|---|---|---|---|---|---|
| Astiva Health C-SNP Deluxe (HMO C-SNP) | H1993-007 | 2 | No | No | No |
| Astiva Health C-SNP WOW - NorCal (HMO C-SNP) | H1993-013 | 2 | No | No | No |
| Astiva Health C-SNP WOW (HMO C-SNP) | H1993-008 | 2 | No | No | No |
| Astiva Health Premier Plan - NorCal (HMO) | H1993-012 | 2 | No | No | No |
| Astiva Health Premier Plan (HMO) | H1993-015 | 2 | No | No | No |
| Astiva Health Savings Plan - NorCal (HMO) | H1993-011 | 2 | No | No | No |
| Astiva Health Savings Plan (HMO) | H1993-001 | 2 | No | No | No |
- Effective
- 2026-06-30
- Retrieved
- 2026-07-19
- SHA-256
- e626e6bcda1aa6a0071e6f0df6bafe686ae41842cdf0a9feffdc649b6d3ff3ae
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Phenytek 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.