Benefily
Varies by plan

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

Prior authorization for Secuado differs across Blue Cross Blue Shield (affiliate)'s Medicare Part D plans and product strengths — 3 of 3 Secuado 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.

  • Prior authorization requirements differ across this payer's plans: 202 of 269 covering plans require it. Check the specific plan the member is enrolled in — the plan name and contract number are on their insurance card.

By product strength

RxNorm productPlans coveringRequire prior authStep therapyQty limitStatus
24 HR asenapine 0.158 MG/HR Transdermal System [Secuado]2265729269 / 2692020269Varies by plan
24 HR asenapine 0.238 MG/HR Transdermal System [Secuado]2265732269 / 2692020269Varies by plan
24 HR asenapine 0.317 MG/HR Transdermal System [Secuado]2265735269 / 2692020269Varies by plan

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

Plan-by-plan detail — 24 HR asenapine 0.158 MG/HR Transdermal System [Secuado]

Secuado has 3 products in the corpus; this table is for 24 HR asenapine 0.158 MG/HR Transdermal System [Secuado], the one carried on the most plans. The product table above covers every strength.

PlanContractTierPrior authStep therapyQty limit
Anthem Dual Advantage (HMO D-SNP)H5422-0185NoNoYes
Anthem Extra Help (HMO-POS)H5422-0135NoNoYes
Anthem Full Dual Advantage (HMO D-SNP)H5422-0195NoNoYes
Anthem Full Dual Advantage Aligned (HMO D-SNP)H4471-0105NoNoYes
Anthem Full Dual Advantage Aligned (HMO D-SNP)H4471-0105NoNoYes
Anthem Full Dual Advantage Aligned (HMO D-SNP)H4471-0115NoNoYes
Anthem I CareMore Chronic Care (HMO-POS C-SNP)H0544-0045NoNoYes
Anthem I CareMore Chronic Care (HMO-POS C-SNP)H0544-0105NoNoYes
Anthem I CareMore Chronic Care 2 (HMO-POS C-SNP)H4161-0145NoNoYes
Anthem I CareMore Chronic Care 2 (HMO-POS C-SNP)H4161-0155NoNoYes
Anthem I CareMore Home Care (HMO I-SNP)H0544-0055NoNoYes
Anthem I CareMore Kidney Care (HMO-POS C-SNP)H0544-0155NoNoYes
Anthem I CareMore Kidney Care (HMO-POS C-SNP)H0544-0205NoNoYes
Anthem I CareMore Lung Care (HMO-POS C-SNP)H0544-0145NoNoYes
Anthem I CareMore Lung Care (HMO-POS C-SNP)H0544-0195NoNoYes
Anthem I CareMore Lung Care 2 (HMO-POS C-SNP)H4161-0165NoNoYes
Anthem I CareMore Lung Care 2 (HMO-POS C-SNP)H4161-0175NoNoYes
Anthem I CareMore Medicare Advantage (HMO-POS)H4161-0115NoNoYes
Anthem I CareMore Medicare Advantage (HMO-POS)H4161-0135NoNoYes
Anthem I CareMore Medicare Advantage 2 (HMO-POS)H0544-0025NoNoYes
Anthem I CareMore Premium Savings (HMO-POS)H4161-0125NoNoYes
Anthem Kidney Care (HMO-POS C-SNP)H5422-0155NoNoYes
Anthem Medicare Advantage (HMO-POS)H0544-0565NoNoYes
Anthem Medicare Advantage (HMO-POS)H0544-0615NoNoYes
Anthem Medicare Advantage (HMO-POS)H0544-0625NoNoYes
Anthem Medicare Advantage (HMO-POS)H0544-0635NoNoYes
Anthem Medicare Advantage (HMO-POS)H0544-0645NoNoYes
Anthem Medicare Advantage (HMO-POS)H0544-0655NoNoYes
Anthem Medicare Advantage (HMO-POS)H0544-0955NoNoYes
Anthem Medicare Advantage (HMO-POS)H0544-0965NoNoYes
Anthem Medicare Advantage (HMO-POS)H0544-1085NoNoYes
Anthem Medicare Advantage (HMO-POS)H5422-0115NoNoYes
Anthem Prime (HMO-POS)H4161-0025NoNoYes
Anthem Prime (HMO-POS)H4161-0035NoNoYes
Anthem Prime (HMO-POS)H4161-0045NoNoYes
Anthem Prime (HMO-POS)H4161-0055NoNoYes
Anthem Prime (HMO-POS)H4161-0065NoNoYes
Anthem Prime (HMO-POS)H4161-0075NoNoYes
Anthem Prime (HMO-POS)H4161-0095NoNoYes
Anthem Prime (HMO-POS)H4161-0105NoNoYes
Anthem Select (HMO-POS)H0544-0585NoNoYes
Anthem Select (HMO-POS)H0544-0665NoNoYes
Anthem Select (HMO-POS)H0544-0695NoNoYes
Anthem Select (HMO-POS)H0544-0915NoNoYes
Anthem Select (HMO-POS)H0544-0985NoNoYes
Blue Advantage Choice (PPO)H0104-0165YesNoYes
Blue Advantage Complete (PPO)H0104-0125YesNoYes
Blue Advantage Complete (PPO)H0104-0145YesNoYes
Blue Advantage Premier (PPO)H0104-0155YesNoYes
Blue Cross Medicare Advantage Choice (PPO)H5959-0095YesNoYes
Blue Cross Medicare Advantage Choice (PPO)H5959-0145YesNoYes
Blue Cross Medicare Advantage Choice (PPO)H5959-0145YesNoYes
Blue Cross Medicare Advantage Comfort (PPO)H5959-0155YesNoYes
Blue Cross Medicare Advantage Comfort (PPO)H5959-0165YesNoYes
Blue Cross Medicare Advantage Complete (PPO)H5959-0105YesNoYes
Blue Cross Medicare Advantage Complete (PPO)H5959-0105YesNoYes
Blue Cross Medicare Advantage Complete (PPO)H5959-0115YesNoYes
Blue Cross Medicare Advantage Core (PPO)H5959-0125YesNoYes
Blue Cross Medicare Advantage Core (PPO)H5959-0135YesNoYes
Blue Cross Medicare Advantage Core (PPO)H5959-0135YesNoYes
Blue Cross Medicare Advantage Secure (HMO)H8547-0015YesNoYes
Blue Medicare Advantage Classic PPO (PPO)H5900-0085NoNoYes
Blue Medicare Advantage Enhanced PPO (PPO)H5900-0045NoNoYes
Blue Medicare Advantage PPO (PPO)H5900-0015NoNoYes
Blue Medicare Choice (HMO)H3449-0265YesNoYes
Blue Medicare Enhanced (HMO-POS)H3449-0245YesNoYes
Blue Medicare Enhanced (HMO-POS)H3449-0245YesNoYes
Blue Medicare Enhanced (HMO-POS)H3449-0245YesNoYes
Blue Medicare Essential (HMO)H3449-0275YesNoYes
Blue Medicare Essential (HMO)H3449-0275YesNoYes
Blue Medicare Essential Plus (HMO-POS)H3449-0235YesNoYes
Blue Medicare Essential Plus (HMO-POS)H3449-0235YesNoYes
Blue Medicare Essential Plus (HMO-POS)H3449-0235YesNoYes
Blue Medicare Essential Plus (HMO-POS)H3449-0235YesNoYes
Blue Medicare PPO Enhanced (PPO)H3404-0035YesNoYes
Blue Medicare PPO Enhanced (PPO)H3404-0035YesNoYes
Blue Medicare Rx Enhanced (PDP)S5540-0045YesNoYes
Blue Medicare Rx Standard (PDP)S5540-0025YesNoYes
Blue MedicareRx Essentials (PDP)S5726-0205YesNoYes
Blue MedicareRx Plus (PDP)S5726-0145YesNoYes
Blue MedicareRx Value (PDP)S5726-0135YesNoYes
BlueCHiP for Medicare Access (HMO-POS)H4152-0225YesNoYes
BlueCHiP for Medicare Enhanced (HMO-POS)H4152-0135YesNoYes
BlueCHiP for Medicare Essential (HMO-POS)H4152-0235YesNoYes
BlueCHiP for Medicare Extra (HMO-POS)H4152-0185YesNoYes
BlueMedicare Complete Rx (PDP)S5904-0025YesNoYes
BlueMedicare Premier Rx (PDP)S5904-0015YesNoYes
BlueMedicare Select (PPO)H5434-0025YesNoYes
BlueMedicare Select (PPO)H5434-0455YesNoYes
BlueMedicare Value (PPO)H5434-0235YesNoYes
BlueMedicare Value (PPO)H5434-0245YesNoYes
BlueMedicare Value (PPO)H5434-0255YesNoYes
BlueMedicare Value (PPO)H5434-0265YesNoYes
BlueMedicare Value (PPO)H5434-0305YesNoYes
BlueMedicare Value (PPO)H5434-0315YesNoYes
BlueMedicare Value (PPO)H5434-0345YesNoYes
BlueMedicare Value (PPO)H5434-0355YesNoYes
BlueMedicare Value (PPO)H5434-0365YesNoYes
BlueRI for Duals (HMO D-SNP)H4152-0215YesNoYes
BlueRx Enhanced Plus (PDP)S1030-0015YesNoYes
Showing 100 of 269 covering plans.
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.

Secuado at other payers

Or see Secuado 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.