Benefily
Prior authorization required

Does Blue Cross Blue Shield (affiliate) require prior authorization for Xpovio 40 MG Twice Weekly (80 MG total weekly dose- 40 MG Tablets) Carton?

Blue Cross Blue Shield (affiliate) requires prior authorization for Xpovio 40 MG Twice Weekly (80 MG total weekly dose- 40 MG Tablets) Carton 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 productPlans coveringRequire prior authStep therapyQty limitStatus
{8 (selinexor 40 MG Oral Tablet [Xpovio]) } Pack [Xpovio 40 MG Twice Weekly (80 MG total weekly dose- 40 MG Tablets) Carton]2548767269 / 2692690240Prior authorization required

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

Plan-by-plan detail — {8 (selinexor 40 MG Oral Tablet [Xpovio]) } Pack [Xpovio 40 MG Twice Weekly (80 MG total weekly dose- 40 MG Tablets) Carton]

PlanContractTierPrior authStep therapyQty limit
Anthem Dual Advantage (HMO D-SNP)H5422-0185YesNoYes
Anthem Extra Help (HMO-POS)H5422-0135YesNoYes
Anthem Full Dual Advantage (HMO D-SNP)H5422-0195YesNoYes
Anthem Full Dual Advantage Aligned (HMO D-SNP)H4471-0105YesNoYes
Anthem Full Dual Advantage Aligned (HMO D-SNP)H4471-0105YesNoYes
Anthem Full Dual Advantage Aligned (HMO D-SNP)H4471-0115YesNoYes
Anthem I CareMore Chronic Care (HMO-POS C-SNP)H0544-0045YesNoYes
Anthem I CareMore Chronic Care (HMO-POS C-SNP)H0544-0105YesNoYes
Anthem I CareMore Chronic Care 2 (HMO-POS C-SNP)H4161-0145YesNoYes
Anthem I CareMore Chronic Care 2 (HMO-POS C-SNP)H4161-0155YesNoYes
Anthem I CareMore Home Care (HMO I-SNP)H0544-0055YesNoYes
Anthem I CareMore Kidney Care (HMO-POS C-SNP)H0544-0155YesNoYes
Anthem I CareMore Kidney Care (HMO-POS C-SNP)H0544-0205YesNoYes
Anthem I CareMore Lung Care (HMO-POS C-SNP)H0544-0145YesNoYes
Anthem I CareMore Lung Care (HMO-POS C-SNP)H0544-0195YesNoYes
Anthem I CareMore Lung Care 2 (HMO-POS C-SNP)H4161-0165YesNoYes
Anthem I CareMore Lung Care 2 (HMO-POS C-SNP)H4161-0175YesNoYes
Anthem I CareMore Medicare Advantage (HMO-POS)H4161-0115YesNoYes
Anthem I CareMore Medicare Advantage (HMO-POS)H4161-0135YesNoYes
Anthem I CareMore Medicare Advantage 2 (HMO-POS)H0544-0025YesNoYes
Anthem I CareMore Premium Savings (HMO-POS)H4161-0125YesNoYes
Anthem Kidney Care (HMO-POS C-SNP)H5422-0155YesNoYes
Anthem Medicare Advantage (HMO-POS)H0544-0565YesNoYes
Anthem Medicare Advantage (HMO-POS)H0544-0615YesNoYes
Anthem Medicare Advantage (HMO-POS)H0544-0625YesNoYes
Anthem Medicare Advantage (HMO-POS)H0544-0635YesNoYes
Anthem Medicare Advantage (HMO-POS)H0544-0645YesNoYes
Anthem Medicare Advantage (HMO-POS)H0544-0655YesNoYes
Anthem Medicare Advantage (HMO-POS)H0544-0955YesNoYes
Anthem Medicare Advantage (HMO-POS)H0544-0965YesNoYes
Anthem Medicare Advantage (HMO-POS)H0544-1085YesNoYes
Anthem Medicare Advantage (HMO-POS)H5422-0115YesNoYes
Anthem Prime (HMO-POS)H4161-0025YesNoYes
Anthem Prime (HMO-POS)H4161-0035YesNoYes
Anthem Prime (HMO-POS)H4161-0045YesNoYes
Anthem Prime (HMO-POS)H4161-0055YesNoYes
Anthem Prime (HMO-POS)H4161-0065YesNoYes
Anthem Prime (HMO-POS)H4161-0075YesNoYes
Anthem Prime (HMO-POS)H4161-0095YesNoYes
Anthem Prime (HMO-POS)H4161-0105YesNoYes
Anthem Select (HMO-POS)H0544-0585YesNoYes
Anthem Select (HMO-POS)H0544-0665YesNoYes
Anthem Select (HMO-POS)H0544-0695YesNoYes
Anthem Select (HMO-POS)H0544-0915YesNoYes
Anthem Select (HMO-POS)H0544-0985YesNoYes
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)H5900-0085YesNoYes
Blue Medicare Advantage Enhanced PPO (PPO)H5900-0045YesNoYes
Blue Medicare Advantage PPO (PPO)H5900-0015YesNoYes
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.

Xpovio 40 MG Twice Weekly (80 MG total weekly dose- 40 MG Tablets) Carton at other payers

Or see Xpovio 40 MG Twice Weekly (80 MG total weekly dose- 40 MG Tablets) Carton 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.