Prior authorization required

Does Careplus Health Plans, INC. require prior authorization for Yesintek?

Careplus Health Plans, INC. requires prior authorization for Yesintek 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	Qty limit	Status
0.5 ML ustekinumab-kfce 90 MG/ML Prefilled Syringe [Yesintek]2705597	36 / 36	36	36	Prior authorization required
1 ML ustekinumab-kfce 90 MG/ML Prefilled Syringe [Yesintek]2705600	36 / 36	36	36	Prior authorization required
0.5 ML ustekinumab-kfce 90 MG/ML Injection [Yesintek]2705603	36 / 36	36	36	Prior authorization required

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

Plan-by-plan detail — 0.5 ML ustekinumab-kfce 90 MG/ML Prefilled Syringe [Yesintek]

Yesintek has 3 products in the corpus; this table is for 0.5 ML ustekinumab-kfce 90 MG/ML Prefilled Syringe [Yesintek], the one carried on the most plans. The product table above covers every strength.

Plan	Contract	Tier	Prior auth	Step therapy	Qty limit
CareAccess (HMO)	H1019-144	3	Yes	No	Yes
CareAccess (HMO)	H1019-148	3	Yes	No	Yes
CareBreeze (HMO C-SNP)	H1019-154	3	Yes	No	Yes
CareBreeze Platinum (HMO C-SNP)	H1019-118	3	Yes	No	Yes
CareBreeze Platinum (HMO C-SNP)	H1019-123	3	Yes	No	Yes
CareBreeze Platinum (HMO C-SNP)	H1019-151	3	Yes	No	Yes
CareBreeze Platinum (HMO C-SNP)	H1019-151	3	Yes	No	Yes
CareBreeze Platinum (HMO-POS C-SNP)	H1019-124	3	Yes	No	Yes
CareComplete (HMO C-SNP)	H1019-150	3	Yes	No	Yes
CareComplete Platinum (HMO C-SNP)	H1019-109	3	Yes	No	Yes
CareComplete Platinum (HMO C-SNP)	H1019-121	3	Yes	No	Yes
CareComplete Platinum (HMO C-SNP)	H1019-147	3	Yes	No	Yes
CareComplete Platinum (HMO C-SNP)	H1019-147	3	Yes	No	Yes
CareComplete Platinum (HMO-POS C-SNP)	H1019-130	3	Yes	No	Yes
CareFree Giveback (HMO)	H1019-065	3	Yes	No	Yes
CareFree Giveback (HMO)	H1019-134	3	Yes	No	Yes
CareFree Giveback (HMO)	H1019-149	3	Yes	No	Yes
CareFree Platinum Giveback (HMO-POS)	H1019-135	3	Yes	No	Yes
CareFree Platinum Giveback (HMO)	H1019-094	3	Yes	No	Yes
CareFree Platinum Giveback (HMO)	H1019-104	3	Yes	No	Yes
CareFree Platinum Giveback (HMO)	H1019-104	3	Yes	No	Yes
CareFree Platinum Giveback (HMO)	H1019-136	3	Yes	No	Yes
CareFree Platinum Giveback (HMO)	H1019-138	3	Yes	No	Yes
CareFree Platinum Giveback (HMO)	H1019-139	3	Yes	No	Yes
CareNeeds Extra (HMO D-SNP)	H1019-152	3	Yes	No	Yes
CareNeeds Extra (HMO D-SNP)	H1019-153	3	Yes	No	Yes
CareNeeds Platinum (HMO D-SNP)	H1019-023	3	Yes	No	Yes
CareNeeds Platinum (HMO D-SNP)	H1019-146	3	Yes	No	Yes
CareNeeds Plus (HMO D-SNP)	H1019-073	3	Yes	No	Yes
CareOne Plus (HMO-POS)	H1019-001	3	Yes	No	Yes
CareOne Plus (HMO-POS)	H1019-043	3	Yes	No	Yes
CareOne Plus (HMO-POS)	H1019-057	3	Yes	No	Yes
CareOne Plus (HMO)	H1019-006	3	Yes	No	Yes
CareOne Plus (HMO)	H1019-103	3	Yes	No	Yes
CareOne Plus (HMO)	H1019-103	3	Yes	No	Yes
CareOne Plus (HMO)	H1019-113	3	Yes	No	Yes

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.

Yesintek at other payers

Or see Yesintek 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.