No prior authorization
Does Blue Cross Blue Shield (affiliate) require prior authorization for Namzaric?
Blue Cross Blue Shield (affiliate) does not require prior authorization for Namzaric 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 |
|---|---|---|---|---|---|
| 24 HR donepezil hydrochloride 10 MG / memantine hydrochloride 14 MG Extended Release Oral Capsule [Namzaric]1602588 | 33 / 269 | 0 | 0 | 3 | No prior authorization |
| 24 HR donepezil hydrochloride 10 MG / memantine hydrochloride 28 MG Extended Release Oral Capsule [Namzaric]1602594 | 33 / 269 | 0 | 0 | 3 | No prior authorization |
| 24 HR donepezil hydrochloride 10 MG / memantine hydrochloride 21 MG Extended Release Oral Capsule [Namzaric]1805422 | 33 / 269 | 0 | 0 | 3 | No prior authorization |
| 24 HR donepezil hydrochloride 10 MG / memantine hydrochloride 7 MG Extended Release Oral Capsule [Namzaric]1805427 | 78 / 269 | 0 | 0 | 3 | No prior authorization |
Product names come from RxNorm (U.S. National Library of Medicine).
Plan-by-plan detail — 24 HR donepezil hydrochloride 10 MG / memantine hydrochloride 7 MG Extended Release Oral Capsule [Namzaric]
Namzaric has 4 products in the corpus; this table is for 24 HR donepezil hydrochloride 10 MG / memantine hydrochloride 7 MG Extended Release Oral Capsule [Namzaric], the one carried on the most plans. The product table above covers every strength.
| Plan | Contract | Tier | Prior auth | Step therapy | Qty limit |
|---|---|---|---|---|---|
| Anthem Dual Advantage (HMO D-SNP) | H5422-018 | 3 | No | No | No |
| Anthem Extra Help (HMO-POS) | H5422-013 | 3 | No | No | No |
| Anthem Full Dual Advantage (HMO D-SNP) | H5422-019 | 3 | No | No | No |
| Anthem Full Dual Advantage Aligned (HMO D-SNP) | H4471-010 | 3 | No | No | No |
| Anthem Full Dual Advantage Aligned (HMO D-SNP) | H4471-010 | 3 | No | No | No |
| Anthem Full Dual Advantage Aligned (HMO D-SNP) | H4471-011 | 3 | No | No | No |
| Anthem Kidney Care (HMO-POS C-SNP) | H5422-015 | 3 | No | No | No |
| Anthem Medicare Advantage (HMO-POS) | H0544-056 | 3 | No | No | No |
| Anthem Medicare Advantage (HMO-POS) | H0544-061 | 3 | No | No | No |
| Anthem Medicare Advantage (HMO-POS) | H0544-062 | 3 | No | No | No |
| Anthem Medicare Advantage (HMO-POS) | H0544-063 | 3 | No | No | No |
| Anthem Medicare Advantage (HMO-POS) | H0544-064 | 3 | No | No | No |
| Anthem Medicare Advantage (HMO-POS) | H0544-065 | 3 | No | No | No |
| Anthem Medicare Advantage (HMO-POS) | H0544-095 | 3 | No | No | No |
| Anthem Medicare Advantage (HMO-POS) | H0544-096 | 3 | No | No | No |
| Anthem Medicare Advantage (HMO-POS) | H0544-108 | 3 | No | No | No |
| Anthem Medicare Advantage (HMO-POS) | H5422-011 | 3 | No | No | No |
| Anthem Prime (HMO-POS) | H4161-002 | 3 | No | No | No |
| Anthem Prime (HMO-POS) | H4161-003 | 3 | No | No | No |
| Anthem Prime (HMO-POS) | H4161-004 | 3 | No | No | No |
| Anthem Prime (HMO-POS) | H4161-005 | 3 | No | No | No |
| Anthem Prime (HMO-POS) | H4161-006 | 3 | No | No | No |
| Anthem Prime (HMO-POS) | H4161-007 | 3 | No | No | No |
| Anthem Prime (HMO-POS) | H4161-009 | 3 | No | No | No |
| Anthem Prime (HMO-POS) | H4161-010 | 3 | No | No | No |
| Anthem Select (HMO-POS) | H0544-058 | 3 | No | No | No |
| Anthem Select (HMO-POS) | H0544-066 | 3 | No | No | No |
| Anthem Select (HMO-POS) | H0544-069 | 3 | No | No | No |
| Anthem Select (HMO-POS) | H0544-091 | 3 | No | No | No |
| Anthem Select (HMO-POS) | H0544-098 | 3 | No | No | No |
| Blue Medicare Advantage Classic PPO (PPO) | H5900-008 | 4 | No | No | No |
| Blue Medicare Advantage Enhanced PPO (PPO) | H5900-004 | 4 | No | No | No |
| Blue Medicare Advantage PPO (PPO) | H5900-001 | 4 | No | No | No |
| CareFirst BlueCross BlueShield Advantage Complete (PPO) | H7379-002 | 4 | No | No | No |
| CareFirst BlueCross BlueShield Advantage DualPrime (HMO D-SNP) | H8854-002 | 4 | No | No | No |
| CareFirst BlueCross BlueShield Advantage Essential (PPO) | H7379-001 | 4 | No | No | No |
| Highmark Health Options Duals (HMO D-SNP) | H6224-001 | 1 | No | No | Yes |
| Highmark Health Options Duals (HMO D-SNP) | H7710-001 | 1 | No | No | Yes |
| Highmark Health Options Duals Select (HMO D-SNP) | H7710-002 | 1 | No | No | Yes |
| Medicare HMO Blue FlexRx (HMO-POS) | H2261-023 | 4 | No | No | No |
| Medicare HMO Blue FlexRx (HMO-POS) | H2261-023 | 4 | No | No | No |
| Medicare HMO Blue PlusRx (HMO) | H2261-005 | 4 | No | No | No |
| Medicare HMO Blue SaverRx (HMO-POS) | H2261-024 | 4 | No | No | No |
| Medicare HMO Blue ValueRx (HMO) | H2261-022 | 4 | No | No | No |
| Medicare HMO Blue ValueRx (HMO) | H2261-022 | 4 | No | No | No |
| Medicare Plus Blue + Meijer (PPO) | H9572-007 | 3 | No | No | No |
| Medicare Plus Blue + Meijer (PPO) | H9572-007 | 3 | No | No | No |
| Medicare Plus Blue + Meijer (PPO) | H9572-007 | 3 | No | No | No |
| Medicare Plus Blue + Meijer (PPO) | H9572-007 | 3 | No | No | No |
| Medicare Plus Blue + Meijer (PPO) | H9572-007 | 3 | No | No | No |
| Medicare Plus Blue Assure (PPO) | H9572-003 | 3 | No | No | No |
| Medicare Plus Blue Assure (PPO) | H9572-003 | 3 | No | No | No |
| Medicare Plus Blue Assure (PPO) | H9572-003 | 3 | No | No | No |
| Medicare Plus Blue Assure (PPO) | H9572-003 | 3 | No | No | No |
| Medicare Plus Blue Assure (PPO) | H9572-003 | 3 | No | No | No |
| Medicare Plus Blue Essential (PPO) | H9572-004 | 3 | No | No | No |
| Medicare Plus Blue Essential (PPO) | H9572-004 | 3 | No | No | No |
| Medicare Plus Blue Essential (PPO) | H9572-004 | 3 | No | No | No |
| Medicare Plus Blue Essential (PPO) | H9572-004 | 3 | No | No | No |
| Medicare Plus Blue Giveback (PPO) | H9572-008 | 3 | No | No | No |
| Medicare Plus Blue Secure (PPO) | H9572-009 | 3 | No | No | No |
| Medicare Plus Blue Signature (PPO) | H9572-001 | 3 | No | No | No |
| Medicare Plus Blue Signature (PPO) | H9572-001 | 3 | No | No | No |
| Medicare Plus Blue Signature (PPO) | H9572-001 | 3 | No | No | No |
| Medicare Plus Blue Signature (PPO) | H9572-001 | 3 | No | No | No |
| Medicare Plus Blue Signature (PPO) | H9572-001 | 3 | No | No | No |
| Medicare Plus Blue Value (PPO) | H9572-010 | 3 | No | No | No |
| Medicare Plus Blue Vitality (PPO) | H9572-002 | 3 | No | No | No |
| Medicare Plus Blue Vitality (PPO) | H9572-002 | 3 | No | No | No |
| Medicare Plus Blue Vitality (PPO) | H9572-002 | 3 | No | No | No |
| Medicare Plus Blue Vitality (PPO) | H9572-002 | 3 | No | No | No |
| Medicare Plus Blue Vitality (PPO) | H9572-002 | 3 | No | No | No |
| Medicare PPO Blue EssentialRx (PPO) | H2230-019 | 4 | No | No | No |
| Medicare PPO Blue PlusRx (PPO) | H2230-002 | 4 | No | No | No |
| Medicare PPO Blue ValueRx (PPO) | H2230-018 | 4 | No | No | No |
| Medicare PPO Blue ValueRx (PPO) | H2230-018 | 4 | No | No | No |
| Prescription Blue Premium (PDP) | S5584-002 | 3 | No | No | No |
| Prescription Blue Select (PDP) | S5584-001 | 3 | No | No | No |
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.
Namzaric at other payers
Or see Namzaric across every payer at once.
- Aetna (CVS Health)
- Devoted Health
- Centene (WellCare)
- Elevance Health (Anthem)
- Molina Healthcare
- Simply Healthcare Plans, INC.
- Zing Health Of Michigan, INC.
- Sunshine State Health Plan, INC.
- Tufts Associated Health Maintenance Organization
- Capital Advantage Insurance Company
- Harmony Health Plan, INC.
- Bluecross Blueshield Of Tennessee, INC.
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.