Does Bravo Health Pennsylvania, INC. require prior authorization for Nuzyra?
Prior authorization for Nuzyra differs across Bravo Health Pennsylvania, INC.'s Medicare Part D plans and product strengths — 2 of 2 Nuzyra 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.
By product strength
| RxNorm product | Plans covering | Require prior auth | Step therapy | Qty limit | Status |
|---|---|---|---|---|---|
| omadacycline 150 MG Oral Tablet [Nuzyra]2059280 | 35 / 35 | 0 | 0 | 0 | No prior authorization |
| omadacycline 100 MG Injection [Nuzyra]2059292 | 35 / 35 | 35 | 0 | 0 | Prior authorization required |
Product names come from RxNorm (U.S. National Library of Medicine).
Plan-by-plan detail — omadacycline 150 MG Oral Tablet [Nuzyra]
Nuzyra has 2 products in the corpus; this table is for omadacycline 150 MG Oral Tablet [Nuzyra], 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 | 5 | No | No | No |
| HealthSpring Achieve (HMO C-SNP) | H3949-024 | 5 | No | No | No |
| HealthSpring Alliance (HMO) | H0354-028 | 5 | No | No | No |
| HealthSpring Preferred (HMO) | H0354-001 | 5 | No | No | No |
| HealthSpring Preferred (HMO) | H3949-035 | 5 | No | No | No |
| HealthSpring Preferred (HMO) | H3949-045 | 5 | No | No | No |
| HealthSpring Preferred (HMO) | H3949-047 | 5 | No | No | No |
| HealthSpring Preferred (HMO) | H3949-049 | 5 | No | No | No |
| HealthSpring Preferred (HMO) | H3949-052 | 5 | No | No | No |
| HealthSpring Preferred (HMO) | H3949-054 | 5 | No | No | No |
| HealthSpring Preferred (HMO) | H9725-009 | 5 | No | No | No |
| HealthSpring Preferred (HMO) | H9725-009 | 5 | No | No | No |
| HealthSpring Preferred (HMO) | H9725-009 | 5 | No | No | No |
| HealthSpring Preferred (HMO) | H9725-009 | 5 | No | No | No |
| HealthSpring Preferred Full Savings (HMO) | H0354-030 | 5 | No | No | No |
| HealthSpring Preferred PA (HMO) | H3949-031 | 5 | No | No | No |
| HealthSpring Preferred Plus (HMO) | H3949-030 | 5 | No | No | No |
| HealthSpring Preferred Plus (HMO) | H3949-048 | 5 | No | No | No |
| HealthSpring Preferred Plus (HMO) | H9725-017 | 5 | No | No | No |
| HealthSpring Preferred Plus (HMO) | H9725-017 | 5 | No | No | No |
| HealthSpring Preferred Plus (HMO) | H9725-017 | 5 | No | No | No |
| HealthSpring Preferred Plus (HMO) | H9725-017 | 5 | No | No | No |
| HealthSpring Preferred Savings (HMO) | H0354-029 | 5 | No | No | No |
| HealthSpring Preferred Savings (HMO) | H3949-053 | 5 | No | No | No |
| HealthSpring Preferred Savings (HMO) | H9725-015 | 5 | No | No | No |
| HealthSpring Preferred Savings (HMO) | H9725-015 | 5 | No | No | No |
| HealthSpring Preferred Savings (HMO) | H9725-015 | 5 | No | No | No |
| HealthSpring Preferred Savings (HMO) | H9725-015 | 5 | No | No | No |
| HealthSpring Preferred Savings (HMO) | H9725-016 | 5 | No | No | No |
| HealthSpring Preferred Select (HMO) | H9725-014 | 5 | No | No | No |
| HealthSpring Premier (HMO-POS) | H9725-018 | 5 | No | No | No |
| HealthSpring TotalCare (HMO D-SNP) | H9725-003 | 5 | No | No | No |
| HealthSpring TotalCare Plus (HMO D-SNP) | H2752-003 | 5 | No | No | No |
| HealthSpring TotalCare Plus (HMO D-SNP) | H3949-009 | 5 | No | No | No |
| HealthSpring TotalCare Plus (HMO D-SNP) | H9725-013 | 5 | 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.
Nuzyra 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.