Does Bravo Health Pennsylvania, INC. require prior authorization for Klor-Con?
Bravo Health Pennsylvania, INC. does not require prior authorization for Klor-Con 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 |
|---|---|---|---|---|---|
| Microencapsulated potassium chloride 20 MEQ Extended Release Oral Tablet [Klor-Con]1801295 | 35 / 35 | 0 | 0 | 0 | No prior authorization |
| Microencapsulated potassium chloride 10 MEQ Extended Release Oral Tablet [Klor-Con]1801299 | 35 / 35 | 0 | 0 | 0 | No prior authorization |
| potassium chloride 20 MEQ Powder for Oral Solution [Klor-Con]1867547 | 35 / 35 | 0 | 0 | 0 | No prior authorization |
| potassium chloride 10 MEQ Extended Release Oral Tablet [Klor-Con]628958 | 35 / 35 | 0 | 0 | 0 | No prior authorization |
| potassium chloride 8 MEQ Extended Release Oral Tablet [Klor-Con]832718 | 35 / 35 | 0 | 0 | 0 | No prior authorization |
| Microencapsulated potassium chloride 15 MEQ Extended Release Oral Tablet [Klor-Con]832731 | 35 / 35 | 0 | 0 | 0 | No prior authorization |
Product names come from RxNorm (U.S. National Library of Medicine).
Plan-by-plan detail — Microencapsulated potassium chloride 20 MEQ Extended Release Oral Tablet [Klor-Con]
Klor-Con has 6 products in the corpus; this table is for Microencapsulated potassium chloride 20 MEQ Extended Release Oral Tablet [Klor-Con], the one carried on the most plans. The product table above covers every strength.
| Plan | Contract | Tier | Prior auth | Step therapy | Qty limit |
|---|---|---|---|---|---|
| HealthSpring Achieve (HMO C-SNP) | H0354-027 | 2 | No | No | No |
| HealthSpring Achieve (HMO C-SNP) | H3949-024 | 2 | No | No | No |
| HealthSpring Alliance (HMO) | H0354-028 | 2 | No | No | No |
| HealthSpring Preferred (HMO) | H0354-001 | 2 | No | No | No |
| HealthSpring Preferred (HMO) | H3949-035 | 2 | No | No | No |
| HealthSpring Preferred (HMO) | H3949-045 | 2 | No | No | No |
| HealthSpring Preferred (HMO) | H3949-047 | 2 | No | No | No |
| HealthSpring Preferred (HMO) | H3949-049 | 2 | No | No | No |
| HealthSpring Preferred (HMO) | H3949-052 | 2 | No | No | No |
| HealthSpring Preferred (HMO) | H3949-054 | 2 | No | No | No |
| HealthSpring Preferred (HMO) | H9725-009 | 2 | No | No | No |
| HealthSpring Preferred (HMO) | H9725-009 | 2 | No | No | No |
| HealthSpring Preferred (HMO) | H9725-009 | 2 | No | No | No |
| HealthSpring Preferred (HMO) | H9725-009 | 2 | No | No | No |
| HealthSpring Preferred Full Savings (HMO) | H0354-030 | 2 | No | No | No |
| HealthSpring Preferred PA (HMO) | H3949-031 | 2 | No | No | No |
| HealthSpring Preferred Plus (HMO) | H3949-030 | 2 | No | No | No |
| HealthSpring Preferred Plus (HMO) | H3949-048 | 2 | No | No | No |
| HealthSpring Preferred Plus (HMO) | H9725-017 | 2 | No | No | No |
| HealthSpring Preferred Plus (HMO) | H9725-017 | 2 | No | No | No |
| HealthSpring Preferred Plus (HMO) | H9725-017 | 2 | No | No | No |
| HealthSpring Preferred Plus (HMO) | H9725-017 | 2 | No | No | No |
| HealthSpring Preferred Savings (HMO) | H0354-029 | 2 | No | No | No |
| HealthSpring Preferred Savings (HMO) | H3949-053 | 2 | No | No | No |
| HealthSpring Preferred Savings (HMO) | H9725-015 | 2 | No | No | No |
| HealthSpring Preferred Savings (HMO) | H9725-015 | 2 | No | No | No |
| HealthSpring Preferred Savings (HMO) | H9725-015 | 2 | No | No | No |
| HealthSpring Preferred Savings (HMO) | H9725-015 | 2 | No | No | No |
| HealthSpring Preferred Savings (HMO) | H9725-016 | 2 | No | No | No |
| HealthSpring Preferred Select (HMO) | H9725-014 | 2 | No | No | No |
| HealthSpring Premier (HMO-POS) | H9725-018 | 2 | No | No | No |
| HealthSpring TotalCare (HMO D-SNP) | H9725-003 | 2 | No | No | No |
| HealthSpring TotalCare Plus (HMO D-SNP) | H2752-003 | 2 | No | No | No |
| HealthSpring TotalCare Plus (HMO D-SNP) | H3949-009 | 2 | No | No | No |
| HealthSpring TotalCare Plus (HMO D-SNP) | H9725-013 | 2 | No | No | No |
- 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.
Klor-Con 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.