Does Careplus Health Plans, INC. require prior authorization for Valtoco 5 MG Dose Kit?
Careplus Health Plans, INC. does not require prior authorization for Valtoco 5 MG Dose Kit 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 product | Plans covering | Require prior auth | Step therapy | Qty limit | Status |
|---|---|---|---|---|---|
| {1 (0.1 ML) (diazepam 50 MG/ML Nasal Spray [Valtoco]) } Pack [Valtoco 5 MG Dose Kit]2272630 | 36 / 36 | 0 | 0 | 36 | No prior authorization |
Product names come from RxNorm (U.S. National Library of Medicine).
Plan-by-plan detail — {1 (0.1 ML) (diazepam 50 MG/ML Nasal Spray [Valtoco]) } Pack [Valtoco 5 MG Dose Kit]
| Plan | Contract | Tier | Prior auth | Step therapy | Qty limit |
|---|---|---|---|---|---|
| CareAccess (HMO) | H1019-144 | 5 | No | No | Yes |
| CareAccess (HMO) | H1019-148 | 5 | No | No | Yes |
| CareBreeze (HMO C-SNP) | H1019-154 | 5 | No | No | Yes |
| CareBreeze Platinum (HMO C-SNP) | H1019-118 | 5 | No | No | Yes |
| CareBreeze Platinum (HMO C-SNP) | H1019-123 | 5 | No | No | Yes |
| CareBreeze Platinum (HMO C-SNP) | H1019-151 | 5 | No | No | Yes |
| CareBreeze Platinum (HMO C-SNP) | H1019-151 | 5 | No | No | Yes |
| CareBreeze Platinum (HMO-POS C-SNP) | H1019-124 | 5 | No | No | Yes |
| CareComplete (HMO C-SNP) | H1019-150 | 5 | No | No | Yes |
| CareComplete Platinum (HMO C-SNP) | H1019-109 | 5 | No | No | Yes |
| CareComplete Platinum (HMO C-SNP) | H1019-121 | 5 | No | No | Yes |
| CareComplete Platinum (HMO C-SNP) | H1019-147 | 5 | No | No | Yes |
| CareComplete Platinum (HMO C-SNP) | H1019-147 | 5 | No | No | Yes |
| CareComplete Platinum (HMO-POS C-SNP) | H1019-130 | 5 | No | No | Yes |
| CareFree Giveback (HMO) | H1019-065 | 5 | No | No | Yes |
| CareFree Giveback (HMO) | H1019-134 | 5 | No | No | Yes |
| CareFree Giveback (HMO) | H1019-149 | 5 | No | No | Yes |
| CareFree Platinum Giveback (HMO-POS) | H1019-135 | 5 | No | No | Yes |
| CareFree Platinum Giveback (HMO) | H1019-094 | 5 | No | No | Yes |
| CareFree Platinum Giveback (HMO) | H1019-104 | 5 | No | No | Yes |
| CareFree Platinum Giveback (HMO) | H1019-104 | 5 | No | No | Yes |
| CareFree Platinum Giveback (HMO) | H1019-136 | 5 | No | No | Yes |
| CareFree Platinum Giveback (HMO) | H1019-138 | 5 | No | No | Yes |
| CareFree Platinum Giveback (HMO) | H1019-139 | 5 | No | No | Yes |
| CareNeeds Extra (HMO D-SNP) | H1019-152 | 5 | No | No | Yes |
| CareNeeds Extra (HMO D-SNP) | H1019-153 | 5 | No | No | Yes |
| CareNeeds Platinum (HMO D-SNP) | H1019-023 | 5 | No | No | Yes |
| CareNeeds Platinum (HMO D-SNP) | H1019-146 | 5 | No | No | Yes |
| CareNeeds Plus (HMO D-SNP) | H1019-073 | 5 | No | No | Yes |
| CareOne Plus (HMO-POS) | H1019-001 | 5 | No | No | Yes |
| CareOne Plus (HMO-POS) | H1019-043 | 5 | No | No | Yes |
| CareOne Plus (HMO-POS) | H1019-057 | 5 | No | No | Yes |
| CareOne Plus (HMO) | H1019-006 | 5 | No | No | Yes |
| CareOne Plus (HMO) | H1019-103 | 5 | No | No | Yes |
| CareOne Plus (HMO) | H1019-103 | 5 | No | No | Yes |
| CareOne Plus (HMO) | H1019-113 | 5 | No | No | Yes |
- 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.
Valtoco 5 MG Dose Kit at other payers
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.