Prior authorization required

Does Blue Cross Blue Shield (affiliate) require prior authorization for FYCOMPA?

Blue Cross Blue Shield (affiliate) requires prior authorization for FYCOMPA 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	Qty limit	Status
perampanel 2 MG Oral Tablet [FYCOMPA]1356563	48 / 269	48	48	Prior authorization required
perampanel 4 MG Oral Tablet [FYCOMPA]1356572	48 / 269	48	48	Prior authorization required
perampanel 6 MG Oral Tablet [FYCOMPA]1356576	48 / 269	48	48	Prior authorization required
perampanel 8 MG Oral Tablet [FYCOMPA]1356580	48 / 269	48	48	Prior authorization required
perampanel 10 MG Oral Tablet [FYCOMPA]1356584	48 / 269	48	48	Prior authorization required
perampanel 12 MG Oral Tablet [FYCOMPA]1356588	48 / 269	48	48	Prior authorization required
perampanel 0.5 MG/ML Oral Suspension [FYCOMPA]1790126	48 / 269	48	48	Prior authorization required

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

Plan-by-plan detail — perampanel 2 MG Oral Tablet [FYCOMPA]

FYCOMPA has 7 products in the corpus; this table is for perampanel 2 MG Oral Tablet [FYCOMPA], 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	4	Yes	No	Yes
Blue Medicare Advantage Enhanced PPO (PPO)	H5900-004	4	Yes	No	Yes
Blue Medicare Advantage PPO (PPO)	H5900-001	4	Yes	No	Yes
CareFirst BlueCross BlueShield Advantage Complete (PPO)	H7379-002	4	Yes	No	Yes
CareFirst BlueCross BlueShield Advantage DualPrime (HMO D-SNP)	H8854-002	4	Yes	No	Yes
CareFirst BlueCross BlueShield Advantage Essential (PPO)	H7379-001	4	Yes	No	Yes
Highmark Health Options Duals (HMO D-SNP)	H6224-001	1	Yes	No	Yes
Highmark Health Options Duals (HMO D-SNP)	H7710-001	1	Yes	No	Yes
Highmark Health Options Duals Select (HMO D-SNP)	H7710-002	1	Yes	No	Yes
Medicare HMO Blue FlexRx (HMO-POS)	H2261-023	4	Yes	No	Yes
Medicare HMO Blue FlexRx (HMO-POS)	H2261-023	4	Yes	No	Yes
Medicare HMO Blue PlusRx (HMO)	H2261-005	4	Yes	No	Yes
Medicare HMO Blue SaverRx (HMO-POS)	H2261-024	4	Yes	No	Yes
Medicare HMO Blue ValueRx (HMO)	H2261-022	4	Yes	No	Yes
Medicare HMO Blue ValueRx (HMO)	H2261-022	4	Yes	No	Yes
Medicare Plus Blue + Meijer (PPO)	H9572-007	4	Yes	No	Yes
Medicare Plus Blue + Meijer (PPO)	H9572-007	4	Yes	No	Yes
Medicare Plus Blue + Meijer (PPO)	H9572-007	4	Yes	No	Yes
Medicare Plus Blue + Meijer (PPO)	H9572-007	4	Yes	No	Yes
Medicare Plus Blue + Meijer (PPO)	H9572-007	4	Yes	No	Yes
Medicare Plus Blue Assure (PPO)	H9572-003	4	Yes	No	Yes
Medicare Plus Blue Assure (PPO)	H9572-003	4	Yes	No	Yes
Medicare Plus Blue Assure (PPO)	H9572-003	4	Yes	No	Yes
Medicare Plus Blue Assure (PPO)	H9572-003	4	Yes	No	Yes
Medicare Plus Blue Assure (PPO)	H9572-003	4	Yes	No	Yes
Medicare Plus Blue Essential (PPO)	H9572-004	4	Yes	No	Yes
Medicare Plus Blue Essential (PPO)	H9572-004	4	Yes	No	Yes
Medicare Plus Blue Essential (PPO)	H9572-004	4	Yes	No	Yes
Medicare Plus Blue Essential (PPO)	H9572-004	4	Yes	No	Yes
Medicare Plus Blue Giveback (PPO)	H9572-008	4	Yes	No	Yes
Medicare Plus Blue Secure (PPO)	H9572-009	4	Yes	No	Yes
Medicare Plus Blue Signature (PPO)	H9572-001	4	Yes	No	Yes
Medicare Plus Blue Signature (PPO)	H9572-001	4	Yes	No	Yes
Medicare Plus Blue Signature (PPO)	H9572-001	4	Yes	No	Yes
Medicare Plus Blue Signature (PPO)	H9572-001	4	Yes	No	Yes
Medicare Plus Blue Signature (PPO)	H9572-001	4	Yes	No	Yes
Medicare Plus Blue Value (PPO)	H9572-010	4	Yes	No	Yes
Medicare Plus Blue Vitality (PPO)	H9572-002	4	Yes	No	Yes
Medicare Plus Blue Vitality (PPO)	H9572-002	4	Yes	No	Yes
Medicare Plus Blue Vitality (PPO)	H9572-002	4	Yes	No	Yes
Medicare Plus Blue Vitality (PPO)	H9572-002	4	Yes	No	Yes
Medicare Plus Blue Vitality (PPO)	H9572-002	4	Yes	No	Yes
Medicare PPO Blue EssentialRx (PPO)	H2230-019	4	Yes	No	Yes
Medicare PPO Blue PlusRx (PPO)	H2230-002	4	Yes	No	Yes
Medicare PPO Blue ValueRx (PPO)	H2230-018	4	Yes	No	Yes
Medicare PPO Blue ValueRx (PPO)	H2230-018	4	Yes	No	Yes
Prescription Blue Premium (PDP)	S5584-002	4	Yes	No	Yes
Prescription Blue Select (PDP)	S5584-001	4	Yes	No	Yes

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.

FYCOMPA at other payers

Or see FYCOMPA 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.