No prior authorization
Does Blue Cross Blue Shield (affiliate) require prior authorization for Teflaro?
Blue Cross Blue Shield (affiliate) does not require prior authorization for Teflaro 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 |
|---|---|---|---|---|---|
| ceftaroline fosamil 400 MG Injection [Teflaro]1040012 | 119 / 269 | 0 | 0 | 0 | No prior authorization |
| ceftaroline fosamil 600 MG Injection [Teflaro]1040016 | 119 / 269 | 0 | 0 | 0 | No prior authorization |
Product names come from RxNorm (U.S. National Library of Medicine).
Plan-by-plan detail — ceftaroline fosamil 400 MG Injection [Teflaro]
Teflaro has 2 products in the corpus; this table is for ceftaroline fosamil 400 MG Injection [Teflaro], the one carried on the most plans. The product table above covers every strength.
| Plan | Contract | Tier | Prior auth | Step therapy | Qty limit |
|---|---|---|---|---|---|
| Blue Advantage Choice (PPO) | H0104-016 | 5 | No | No | No |
| Blue Advantage Complete (PPO) | H0104-012 | 5 | No | No | No |
| Blue Advantage Complete (PPO) | H0104-014 | 5 | No | No | No |
| Blue Advantage Premier (PPO) | H0104-015 | 5 | No | No | No |
| Blue Cross Medicare Advantage Choice (PPO) | H5959-009 | 5 | No | No | No |
| Blue Cross Medicare Advantage Choice (PPO) | H5959-014 | 5 | No | No | No |
| Blue Cross Medicare Advantage Choice (PPO) | H5959-014 | 5 | No | No | No |
| Blue Cross Medicare Advantage Comfort (PPO) | H5959-015 | 5 | No | No | No |
| Blue Cross Medicare Advantage Comfort (PPO) | H5959-016 | 5 | No | No | No |
| Blue Cross Medicare Advantage Complete (PPO) | H5959-010 | 5 | No | No | No |
| Blue Cross Medicare Advantage Complete (PPO) | H5959-010 | 5 | No | No | No |
| Blue Cross Medicare Advantage Complete (PPO) | H5959-011 | 5 | No | No | No |
| Blue Cross Medicare Advantage Core (PPO) | H5959-012 | 5 | No | No | No |
| Blue Cross Medicare Advantage Core (PPO) | H5959-013 | 5 | No | No | No |
| Blue Cross Medicare Advantage Core (PPO) | H5959-013 | 5 | No | No | No |
| Blue Cross Medicare Advantage Secure (HMO) | H8547-001 | 5 | No | No | No |
| Blue Medicare Advantage Classic PPO (PPO) | H5900-008 | 5 | No | No | No |
| Blue Medicare Advantage Enhanced PPO (PPO) | H5900-004 | 5 | No | No | No |
| Blue Medicare Advantage PPO (PPO) | H5900-001 | 5 | No | No | No |
| Blue Medicare Choice (HMO) | H3449-026 | 5 | No | No | No |
| Blue Medicare Enhanced (HMO-POS) | H3449-024 | 5 | No | No | No |
| Blue Medicare Enhanced (HMO-POS) | H3449-024 | 5 | No | No | No |
| Blue Medicare Enhanced (HMO-POS) | H3449-024 | 5 | No | No | No |
| Blue Medicare Essential (HMO) | H3449-027 | 5 | No | No | No |
| Blue Medicare Essential (HMO) | H3449-027 | 5 | No | No | No |
| Blue Medicare Essential Plus (HMO-POS) | H3449-023 | 5 | No | No | No |
| Blue Medicare Essential Plus (HMO-POS) | H3449-023 | 5 | No | No | No |
| Blue Medicare Essential Plus (HMO-POS) | H3449-023 | 5 | No | No | No |
| Blue Medicare Essential Plus (HMO-POS) | H3449-023 | 5 | No | No | No |
| Blue Medicare PPO Enhanced (PPO) | H3404-003 | 5 | No | No | No |
| Blue Medicare PPO Enhanced (PPO) | H3404-003 | 5 | No | No | No |
| Blue Medicare Rx Enhanced (PDP) | S5540-004 | 5 | No | No | No |
| Blue Medicare Rx Standard (PDP) | S5540-002 | 5 | No | No | No |
| Blue MedicareRx Essentials (PDP) | S5726-020 | 5 | No | No | No |
| Blue MedicareRx Plus (PDP) | S5726-014 | 5 | No | No | No |
| Blue MedicareRx Value (PDP) | S5726-013 | 5 | No | No | No |
| BlueCHiP for Medicare Access (HMO-POS) | H4152-022 | 5 | No | No | No |
| BlueCHiP for Medicare Enhanced (HMO-POS) | H4152-013 | 5 | No | No | No |
| BlueCHiP for Medicare Essential (HMO-POS) | H4152-023 | 5 | No | No | No |
| BlueCHiP for Medicare Extra (HMO-POS) | H4152-018 | 5 | No | No | No |
| BlueMedicare Complete Rx (PDP) | S5904-002 | 5 | No | No | No |
| BlueMedicare Premier Rx (PDP) | S5904-001 | 5 | No | No | No |
| BlueMedicare Select (PPO) | H5434-002 | 5 | No | No | No |
| BlueMedicare Select (PPO) | H5434-045 | 5 | No | No | No |
| BlueMedicare Value (PPO) | H5434-023 | 5 | No | No | No |
| BlueMedicare Value (PPO) | H5434-024 | 5 | No | No | No |
| BlueMedicare Value (PPO) | H5434-025 | 5 | No | No | No |
| BlueMedicare Value (PPO) | H5434-026 | 5 | No | No | No |
| BlueMedicare Value (PPO) | H5434-030 | 5 | No | No | No |
| BlueMedicare Value (PPO) | H5434-031 | 5 | No | No | No |
| BlueMedicare Value (PPO) | H5434-034 | 5 | No | No | No |
| BlueMedicare Value (PPO) | H5434-035 | 5 | No | No | No |
| BlueMedicare Value (PPO) | H5434-036 | 5 | No | No | No |
| BlueRI for Duals (HMO D-SNP) | H4152-021 | 5 | No | No | No |
| BlueRx Enhanced Plus (PDP) | S1030-001 | 5 | No | No | No |
| BlueRx Essential (PDP) | S1030-006 | 5 | No | No | No |
| CareFirst BlueCross BlueShield Advantage Complete (PPO) | H7379-002 | 5 | No | No | No |
| CareFirst BlueCross BlueShield Advantage DualPrime (HMO D-SNP) | H8854-002 | 5 | No | No | No |
| CareFirst BlueCross BlueShield Advantage Essential (PPO) | H7379-001 | 5 | No | No | No |
| Experience Health Medicare Advantage (HMO) | H3777-002 | 5 | No | No | No |
| Healthy Blue + Medicare (HMO-POS D-SNP) | H9147-001 | 5 | No | No | No |
| Medicare HMO Blue FlexRx (HMO-POS) | H2261-023 | 5 | No | No | No |
| Medicare HMO Blue FlexRx (HMO-POS) | H2261-023 | 5 | No | No | No |
| Medicare HMO Blue PlusRx (HMO) | H2261-005 | 5 | No | No | No |
| Medicare HMO Blue SaverRx (HMO-POS) | H2261-024 | 5 | No | No | No |
| Medicare HMO Blue ValueRx (HMO) | H2261-022 | 5 | No | No | No |
| Medicare HMO Blue ValueRx (HMO) | H2261-022 | 5 | No | No | No |
| Medicare Plus Blue + Meijer (PPO) | H9572-007 | 5 | No | No | No |
| Medicare Plus Blue + Meijer (PPO) | H9572-007 | 5 | No | No | No |
| Medicare Plus Blue + Meijer (PPO) | H9572-007 | 5 | No | No | No |
| Medicare Plus Blue + Meijer (PPO) | H9572-007 | 5 | No | No | No |
| Medicare Plus Blue + Meijer (PPO) | H9572-007 | 5 | No | No | No |
| Medicare Plus Blue Assure (PPO) | H9572-003 | 5 | No | No | No |
| Medicare Plus Blue Assure (PPO) | H9572-003 | 5 | No | No | No |
| Medicare Plus Blue Assure (PPO) | H9572-003 | 5 | No | No | No |
| Medicare Plus Blue Assure (PPO) | H9572-003 | 5 | No | No | No |
| Medicare Plus Blue Assure (PPO) | H9572-003 | 5 | No | No | No |
| Medicare Plus Blue Essential (PPO) | H9572-004 | 5 | No | No | No |
| Medicare Plus Blue Essential (PPO) | H9572-004 | 5 | No | No | No |
| Medicare Plus Blue Essential (PPO) | H9572-004 | 5 | No | No | No |
| Medicare Plus Blue Essential (PPO) | H9572-004 | 5 | No | No | No |
| Medicare Plus Blue Giveback (PPO) | H9572-008 | 5 | No | No | No |
| Medicare Plus Blue Secure (PPO) | H9572-009 | 5 | No | No | No |
| Medicare Plus Blue Signature (PPO) | H9572-001 | 5 | No | No | No |
| Medicare Plus Blue Signature (PPO) | H9572-001 | 5 | No | No | No |
| Medicare Plus Blue Signature (PPO) | H9572-001 | 5 | No | No | No |
| Medicare Plus Blue Signature (PPO) | H9572-001 | 5 | No | No | No |
| Medicare Plus Blue Signature (PPO) | H9572-001 | 5 | No | No | No |
| Medicare Plus Blue Value (PPO) | H9572-010 | 5 | No | No | No |
| Medicare Plus Blue Vitality (PPO) | H9572-002 | 5 | No | No | No |
| Medicare Plus Blue Vitality (PPO) | H9572-002 | 5 | No | No | No |
| Medicare Plus Blue Vitality (PPO) | H9572-002 | 5 | No | No | No |
| Medicare Plus Blue Vitality (PPO) | H9572-002 | 5 | No | No | No |
| Medicare Plus Blue Vitality (PPO) | H9572-002 | 5 | No | No | No |
| Medicare PPO Blue EssentialRx (PPO) | H2230-019 | 5 | No | No | No |
| Medicare PPO Blue PlusRx (PPO) | H2230-002 | 5 | No | No | No |
| Medicare PPO Blue ValueRx (PPO) | H2230-018 | 5 | No | No | No |
| Medicare PPO Blue ValueRx (PPO) | H2230-018 | 5 | No | No | No |
| MedicareBlue Rx Standard (PDP) | S5743-001 | 5 | No | No | No |
| Platinum Blue Choice Plan with Rx (Cost) | H2461-009 | 5 | No | No | No |
Showing 100 of 119 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.
Teflaro 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.