Benefily
No prior authorization

Does California Physicians' Service require prior authorization for Matzim?

California Physicians' Service does not require prior authorization for Matzim 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 productPlans coveringRequire prior authStep therapyQty limitStatus
24 HR diltiazem hydrochloride 420 MG Extended Release Oral Tablet [Matzim]109162316 / 17000No prior authorization
24 HR diltiazem hydrochloride 240 MG Extended Release Oral Tablet [Matzim]109162916 / 17000No prior authorization
24 HR diltiazem hydrochloride 180 MG Extended Release Oral Tablet [Matzim]109163216 / 17000No prior authorization
24 HR diltiazem hydrochloride 300 MG Extended Release Oral Tablet [Matzim]109163516 / 17000No prior authorization
24 HR diltiazem hydrochloride 360 MG Extended Release Oral Tablet [Matzim]109163816 / 17000No prior authorization

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

Plan-by-plan detail — 24 HR diltiazem hydrochloride 420 MG Extended Release Oral Tablet [Matzim]

Matzim has 5 products in the corpus; this table is for 24 HR diltiazem hydrochloride 420 MG Extended Release Oral Tablet [Matzim], the one carried on the most plans. The product table above covers every strength.

PlanContractTierPrior authStep therapyQty limit
Blue Shield 65 Plus (HMO)H0504-0152NoNoNo
Blue Shield 65 Plus (HMO)H0504-0172NoNoNo
Blue Shield 65 Plus (HMO)H0504-0262NoNoNo
Blue Shield 65 Plus (HMO)H0504-0282NoNoNo
Blue Shield 65 Plus (HMO)H0504-0382NoNoNo
Blue Shield 65 Plus (HMO)H0504-0392NoNoNo
Blue Shield 65 Plus Choice Plan (HMO)H0504-0402NoNoNo
Blue Shield 65 Plus Plan 2 (HMO)H0504-0212NoNoNo
Blue Shield Advantage (HMO)H0504-0502NoNoNo
Blue Shield AdvantageOptimum Plan (HMO)H5928-0042NoNoNo
Blue Shield AdvantageOptimum Plan 1 (HMO)H5928-0102NoNoNo
Blue Shield Inspire (HMO)H0504-0412NoNoNo
Blue Shield Inspire (HMO)H0504-0432NoNoNo
Blue Shield Inspire (HMO)H0504-0472NoNoNo
Blue Shield Rx Enhanced (PDP)S2468-0044NoNoNo
Blue Shield TotalDual Plan (HMO D-SNP)H2819-0012NoNoNo
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.

Matzim at other payers

Or see Matzim 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.