Benefily
Prior authorization required

Does Buckeye Community Health Plan, INC. require prior authorization for Rezdiffra?

Buckeye Community Health Plan, INC. requires prior authorization for Rezdiffra 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
resmetirom 100 MG Oral Tablet [Rezdiffra]26779056 / 6606Prior authorization required
resmetirom 60 MG Oral Tablet [Rezdiffra]26779096 / 6606Prior authorization required
resmetirom 80 MG Oral Tablet [Rezdiffra]26779136 / 6606Prior authorization required

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

Plan-by-plan detail — resmetirom 100 MG Oral Tablet [Rezdiffra]

Rezdiffra has 3 products in the corpus; this table is for resmetirom 100 MG Oral Tablet [Rezdiffra], the one carried on the most plans. The product table above covers every strength.

PlanContractTierPrior authStep therapyQty limit
Wellcare Assist (HMO-POS)H0908-0045YesNoYes
Wellcare Dual Access (HMO-POS D-SNP)H0908-0015YesNoYes
Wellcare Dual Liberty (HMO-POS D-SNP)H0908-0075YesNoYes
Wellcare Dual Liberty (HMO-POS D-SNP)H0908-0085YesNoYes
Wellcare Dual Reserve (HMO-POS D-SNP)H0908-0065YesNoYes
Wellcare Simple (HMO-POS)H0908-0035YesNoYes
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.

Rezdiffra at other payers

Or see Rezdiffra 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.