Benefily
No prior authorization

Does Cariten Health Plan INC. require prior authorization for Claravis?

Cariten Health Plan INC. does not require prior authorization for Claravis 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
isotretinoin 10 MG Oral Capsule [Claravis]40405944 / 44000No prior authorization
isotretinoin 20 MG Oral Capsule [Claravis]40406244 / 44000No prior authorization
isotretinoin 40 MG Oral Capsule [Claravis]40406544 / 44000No prior authorization
isotretinoin 30 MG Oral Capsule [Claravis]64348844 / 44000No prior authorization

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

Plan-by-plan detail — isotretinoin 10 MG Oral Capsule [Claravis]

Claravis has 4 products in the corpus; this table is for isotretinoin 10 MG Oral Capsule [Claravis], the one carried on the most plans. The product table above covers every strength.

PlanContractTierPrior authStep therapyQty limit
Humana Community (HMO-POS)H4461-0484NoNoNo
Humana Dual Select H4461-077 (HMO D-SNP)H4461-0774NoNoNo
Humana Essentials Plus Giveback H4461-039 (HMO)H4461-0394NoNoNo
Humana Essentials Plus Giveback H4461-045 (HMO)H4461-0454NoNoNo
Humana Gold Plus - Diabetes and Heart (HMO C-SNP)H4461-0424NoNoNo
Humana Gold Plus - Diabetes and Heart (HMO C-SNP)H4461-0634NoNoNo
Humana Gold Plus - Diabetes and Heart (HMO C-SNP)H4461-0654NoNoNo
Humana Gold Plus - Diabetes and Heart (HMO C-SNP)H4461-0664NoNoNo
Humana Gold Plus - Diabetes and Heart (HMO C-SNP)H4461-0674NoNoNo
Humana Gold Plus - Diabetes and Heart (HMO C-SNP)H4461-0684NoNoNo
Humana Gold Plus H4461-025 (HMO)H4461-0254NoNoNo
Humana Gold Plus H4461-035 (HMO)H4461-0354NoNoNo
Humana Gold Plus H4461-040 (HMO)H4461-0404NoNoNo
Humana Gold Plus H4461-041 (HMO)H4461-0414NoNoNo
Humana Gold Plus H4461-050 (HMO)H4461-0504NoNoNo
Humana Gold Plus H4461-052 (HMO)H4461-0524NoNoNo
Humana Gold Plus H4461-053 (HMO)H4461-0534NoNoNo
Humana Gold Plus H4461-054 (HMO)H4461-0544NoNoNo
Humana Gold Plus H4461-055 (HMO)H4461-0554NoNoNo
Humana Gold Plus H4461-056 (HMO)H4461-0564NoNoNo
Humana Gold Plus H4461-057 (HMO)H4461-0574NoNoNo
Humana Gold Plus H4461-058 (HMO)H4461-0584NoNoNo
Humana Gold Plus H4461-059 (HMO)H4461-0594NoNoNo
Humana Gold Plus H4461-060 (HMO)H4461-0604NoNoNo
Humana Gold Plus H4461-061 (HMO)H4461-0614NoNoNo
Humana Gold Plus H4461-062 (HMO)H4461-0624NoNoNo
Humana Gold Plus H4461-073 (HMO)H4461-0734NoNoNo
Humana Gold Plus H4461-078 (HMO)H4461-0784NoNoNo
Humana Gold Plus H4461-079 (HMO)H4461-0794NoNoNo
Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP)H4461-0384NoNoNo
Humana Gold Plus SNP-DE H4461-044 (HMO-POS D-SNP)H4461-0444NoNoNo
Humana Gold Plus SNP-DE H4461-069 (HMO D-SNP)H4461-0694NoNoNo
Humana Gold Plus SNP-DE H4461-070 (HMO D-SNP)H4461-0704NoNoNo
Humana Gold Plus SNP-DE H4461-071 (HMO D-SNP)H4461-0714NoNoNo
Humana Gold Plus SNP-DE H4461-072 (HMO D-SNP)H4461-0724NoNoNo
Humana Gold Plus SNP-DE H4461-074 (HMO D-SNP)H4461-0744NoNoNo
Humana Gold Plus SNP-DE H4461-076 (HMO D-SNP)H4461-0764NoNoNo
Humana Total Complete Giveback H4461-047 (HMO-POS)H4461-0474NoNoNo
Humana Total Complete H4461-043 (HMO)H4461-0434NoNoNo
Humana Total Complete H4461-043 (HMO)H4461-0434NoNoNo
Humana Total Complete H4461-046 (HMO)H4461-0464NoNoNo
Humana Total Complete H4461-049 (HMO)H4461-0494NoNoNo
Humana Total Complete H4461-051 (HMO)H4461-0514NoNoNo
Humana Total Complete H4461-064 (HMO)H4461-0644NoNoNo
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.

Claravis at other payers

Or see Claravis 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.