Benefily
No prior authorization

Does California Physicians' Service require prior authorization for YF-Vax?

California Physicians' Service does not require prior authorization for YF-Vax 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
yellow fever virus strain 17D-204 live antigen 4000 UNT/ML Injectable Suspension [YF-Vax]129282817 / 17000No prior authorization
0.5 ML yellow fever virus strain 17D-204 live antigen 4000 UNT/ML Injection [YF-Vax]165824117 / 17000No prior authorization

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

Plan-by-plan detail — yellow fever virus strain 17D-204 live antigen 4000 UNT/ML Injectable Suspension [YF-Vax]

YF-Vax has 2 products in the corpus; this table is for yellow fever virus strain 17D-204 live antigen 4000 UNT/ML Injectable Suspension [YF-Vax], the one carried on the most plans. The product table above covers every strength.

PlanContractTierPrior authStep therapyQty limit
Blue Shield 65 Plus (HMO)H0504-0154NoNoNo
Blue Shield 65 Plus (HMO)H0504-0174NoNoNo
Blue Shield 65 Plus (HMO)H0504-0264NoNoNo
Blue Shield 65 Plus (HMO)H0504-0284NoNoNo
Blue Shield 65 Plus (HMO)H0504-0384NoNoNo
Blue Shield 65 Plus (HMO)H0504-0394NoNoNo
Blue Shield 65 Plus Choice Plan (HMO)H0504-0404NoNoNo
Blue Shield 65 Plus Plan 2 (HMO)H0504-0214NoNoNo
Blue Shield Advantage (HMO)H0504-0504NoNoNo
Blue Shield AdvantageOptimum Plan (HMO)H5928-0044NoNoNo
Blue Shield AdvantageOptimum Plan 1 (HMO)H5928-0104NoNoNo
Blue Shield Inspire (HMO)H0504-0414NoNoNo
Blue Shield Inspire (HMO)H0504-0434NoNoNo
Blue Shield Inspire (HMO)H0504-0474NoNoNo
Blue Shield Rx Enhanced (PDP)S2468-0044NoNoNo
Blue Shield Rx Plus (PDP)S2468-0034NoNoNo
Blue Shield TotalDual Plan (HMO D-SNP)H2819-0014NoNoNo
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.

YF-Vax at other payers

Or see YF-Vax 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.