Does Capital Advantage Insurance Company require prior authorization for Dotti?
Capital Advantage Insurance Company does not require prior authorization for Dotti on the Medicare Part D plans that cover it.
No covering plan from this payer files a prior-authorization requirement for this drug.
- This drug does not appear on any of this payer's Medicare Part D formularies. That means it is NOT COVERED under those plans — which is a different and generally worse outcome than requiring prior authorization. An exception or formulary-exception request may still be possible.
By product strength
| RxNorm product | Plans covering | Require prior auth | Step therapy | Qty limit | Status |
|---|---|---|---|---|---|
| 84 HR estradiol 0.00104 MG/HR Transdermal System [Dotti]2110774 | 2 / 23 | 0 | 0 | 0 | No prior authorization |
| 84 HR estradiol 0.00156 MG/HR Transdermal System [Dotti]2110777 | 2 / 23 | 0 | 0 | 0 | No prior authorization |
| 84 HR estradiol 0.00208 MG/HR Transdermal System [Dotti]2110780 | 2 / 23 | 0 | 0 | 0 | No prior authorization |
| 84 HR estradiol 0.00313 MG/HR Transdermal System [Dotti]2110783 | 2 / 23 | 0 | 0 | 0 | No prior authorization |
| 84 HR estradiol 0.00417 MG/HR Transdermal System [Dotti]2110786 | 0 / 23 | 0 | 0 | 0 | Not on formulary |
Product names come from RxNorm (U.S. National Library of Medicine).
Plan-by-plan detail — 84 HR estradiol 0.00104 MG/HR Transdermal System [Dotti]
Dotti has 5 products in the corpus; this table is for 84 HR estradiol 0.00104 MG/HR Transdermal System [Dotti], the one carried on the most plans. The product table above covers every strength.
| Plan | Contract | Tier | Prior auth | Step therapy | Qty limit |
|---|---|---|---|---|---|
| Capital Blue Cross Classic (PPO) | H3923-013 | 3 | No | No | No |
| Capital Blue Cross Prime (PPO) | H3923-017 | 3 | No | No | No |
- Effective
- 2026-06-30
- Retrieved
- 2026-07-19
- SHA-256
- e626e6bcda1aa6a0071e6f0df6bafe686ae41842cdf0a9feffdc649b6d3ff3ae
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Dotti at other payers
Or see Dotti 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.