Does Blue Cross Blue Shield (affiliate) require prior authorization for Erzofri?
Blue Cross Blue Shield (affiliate) does not require prior authorization for Erzofri 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 |
|---|---|---|---|---|---|
| 2.25 ML paliperidone palmitate 156 MG/ML Prefilled Syringe [Erzofri]2699348 | 16 / 269 | 0 | 0 | 16 | No prior authorization |
| 0.75 ML paliperidone palmitate 156 MG/ML Prefilled Syringe [Erzofri]2699350 | 16 / 269 | 0 | 0 | 16 | No prior authorization |
| 1 ML paliperidone palmitate 156 MG/ML Prefilled Syringe [Erzofri]2699351 | 16 / 269 | 0 | 0 | 16 | No prior authorization |
| 1.5 ML paliperidone palmitate 156 MG/ML Prefilled Syringe [Erzofri]2699352 | 16 / 269 | 0 | 0 | 16 | No prior authorization |
| 0.25 ML paliperidone palmitate 156 MG/ML Prefilled Syringe [Erzofri]2699353 | 16 / 269 | 0 | 0 | 16 | No prior authorization |
| 0.5 ML paliperidone palmitate 156 MG/ML Prefilled Syringe [Erzofri]2699354 | 16 / 269 | 0 | 0 | 16 | No prior authorization |
Product names come from RxNorm (U.S. National Library of Medicine).
Plan-by-plan detail — 2.25 ML paliperidone palmitate 156 MG/ML Prefilled Syringe [Erzofri]
Erzofri has 6 products in the corpus; this table is for 2.25 ML paliperidone palmitate 156 MG/ML Prefilled Syringe [Erzofri], the one carried on the most plans. The product table above covers every strength.
| Plan | Contract | Tier | Prior auth | Step therapy | Qty limit |
|---|---|---|---|---|---|
| Blue Medicare Advantage Classic PPO (PPO) | H5900-008 | 5 | No | No | Yes |
| Blue Medicare Advantage Enhanced PPO (PPO) | H5900-004 | 5 | No | No | Yes |
| Blue Medicare Advantage PPO (PPO) | H5900-001 | 5 | No | No | Yes |
| CareFirst BlueCross BlueShield Advantage Complete (PPO) | H7379-002 | 5 | No | No | Yes |
| CareFirst BlueCross BlueShield Advantage DualPrime (HMO D-SNP) | H8854-002 | 5 | No | No | Yes |
| CareFirst BlueCross BlueShield Advantage Essential (PPO) | H7379-001 | 5 | No | No | Yes |
| Medicare HMO Blue FlexRx (HMO-POS) | H2261-023 | 5 | No | No | Yes |
| Medicare HMO Blue FlexRx (HMO-POS) | H2261-023 | 5 | No | No | Yes |
| Medicare HMO Blue PlusRx (HMO) | H2261-005 | 5 | No | No | Yes |
| Medicare HMO Blue SaverRx (HMO-POS) | H2261-024 | 5 | No | No | Yes |
| Medicare HMO Blue ValueRx (HMO) | H2261-022 | 5 | No | No | Yes |
| Medicare HMO Blue ValueRx (HMO) | H2261-022 | 5 | No | No | Yes |
| Medicare PPO Blue EssentialRx (PPO) | H2230-019 | 5 | No | No | Yes |
| Medicare PPO Blue PlusRx (PPO) | H2230-002 | 5 | No | No | Yes |
| Medicare PPO Blue ValueRx (PPO) | H2230-018 | 5 | No | No | Yes |
| Medicare PPO Blue ValueRx (PPO) | H2230-018 | 5 | No | No | Yes |
- 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.
Erzofri 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.