Prior authorization required

Does California Physicians' Service require prior authorization for Mounjaro?

California Physicians' Service requires prior authorization for Mounjaro 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 product	Plans covering	Require prior auth	Status
0.5 ML tirzepatide 10 MG/ML Auto-Injector [Mounjaro]2601746	17 / 17	17	Prior authorization required
0.5 ML tirzepatide 30 MG/ML Auto-Injector [Mounjaro]2601758	17 / 17	17	Prior authorization required
0.5 ML tirzepatide 5 MG/ML Auto-Injector [Mounjaro]2601764	17 / 17	17	Prior authorization required
0.5 ML tirzepatide 20 MG/ML Auto-Injector [Mounjaro]2601770	17 / 17	17	Prior authorization required
0.5 ML tirzepatide 25 MG/ML Auto-Injector [Mounjaro]2601776	17 / 17	17	Prior authorization required
0.5 ML tirzepatide 15 MG/ML Auto-Injector [Mounjaro]2601785	17 / 17	17	Prior authorization required

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

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.

Mounjaro at other payers

Or see Mounjaro 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.