Benefily
No prior authorization

Does Centene (WellCare) require prior authorization for Jantoven?

Centene (WellCare) does not require prior authorization for Jantoven 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 productPlans coveringRequire prior authStep therapyQty limitStatus
warfarin sodium 1 MG Oral Tablet [Jantoven]855292197 / 197000No prior authorization
warfarin sodium 10 MG Oral Tablet [Jantoven]855300197 / 197000No prior authorization
warfarin sodium 2 MG Oral Tablet [Jantoven]855306197 / 197000No prior authorization
warfarin sodium 2.5 MG Oral Tablet [Jantoven]8553160 / 197000Not on formulary
warfarin sodium 3 MG Oral Tablet [Jantoven]8553220 / 197000Not on formulary
warfarin sodium 4 MG Oral Tablet [Jantoven]8553280 / 197000Not on formulary
warfarin sodium 5 MG Oral Tablet [Jantoven]8553360 / 197000Not on formulary
warfarin sodium 6 MG Oral Tablet [Jantoven]8553420 / 197000Not on formulary
warfarin sodium 7.5 MG Oral Tablet [Jantoven]8553480 / 197000Not on formulary

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

Plan-by-plan detail — warfarin sodium 1 MG Oral Tablet [Jantoven]

Jantoven has 9 products in the corpus; this table is for warfarin sodium 1 MG Oral Tablet [Jantoven], the one carried on the most plans. The product table above covers every strength.

PlanContractTierPrior authStep therapyQty limit
Wellcare 'Ohana Dual Align (HMO-POS D-SNP)H9916-0011NoNoNo
Wellcare Assist (HMO-POS)H0913-0151NoNoNo
Wellcare Assist (HMO-POS)H1112-0431NoNoNo
Wellcare Assist (HMO-POS)H2491-0101NoNoNo
Wellcare Assist (HMO-POS)H4847-0051NoNoNo
Wellcare Assist (HMO-POS)H9730-0101NoNoNo
Wellcare Assist (HMO)H0174-0091NoNoNo
Wellcare Assist Open (PPO)H1914-0091NoNoNo
Wellcare Assist Open (PPO)H7326-0071NoNoNo
Wellcare CalViva Health Dual Align (HMO D-SNP)H3561-0071NoNoNo
Wellcare Classic (PDP)S4802-0121NoNoNo
Wellcare Classic (PDP)S4802-0131NoNoNo
Wellcare Classic (PDP)S4802-0141NoNoNo
Wellcare Classic (PDP)S4802-0201NoNoNo
Wellcare Classic (PDP)S4802-0211NoNoNo
Wellcare Classic (PDP)S4802-0691NoNoNo
Wellcare Classic (PDP)S4802-0701NoNoNo
Wellcare Classic (PDP)S4802-0711NoNoNo
Wellcare Classic (PDP)S4802-0721NoNoNo
Wellcare Classic (PDP)S4802-0731NoNoNo
Wellcare Classic (PDP)S4802-0741NoNoNo
Wellcare Classic (PDP)S4802-0751NoNoNo
Wellcare Classic (PDP)S4802-0761NoNoNo
Wellcare Classic (PDP)S4802-0771NoNoNo
Wellcare Classic (PDP)S4802-0781NoNoNo
Wellcare Classic (PDP)S4802-0791NoNoNo
Wellcare Classic (PDP)S4802-0801NoNoNo
Wellcare Classic (PDP)S4802-0811NoNoNo
Wellcare Classic (PDP)S4802-0821NoNoNo
Wellcare Classic (PDP)S4802-0831NoNoNo
Wellcare Classic (PDP)S4802-0841NoNoNo
Wellcare Classic (PDP)S4802-0851NoNoNo
Wellcare Classic (PDP)S4802-0861NoNoNo
Wellcare Classic (PDP)S4802-0871NoNoNo
Wellcare Classic (PDP)S4802-0881NoNoNo
Wellcare Classic (PDP)S4802-0891NoNoNo
Wellcare Classic (PDP)S4802-0901NoNoNo
Wellcare Classic (PDP)S4802-0911NoNoNo
Wellcare Classic (PDP)S4802-0921NoNoNo
Wellcare Classic (PDP)S4802-0931NoNoNo
Wellcare Classic (PDP)S4802-0941NoNoNo
Wellcare Classic (PDP)S4802-0951NoNoNo
Wellcare Classic (PDP)S4802-0961NoNoNo
Wellcare Classic (PDP)S4802-0971NoNoNo
Wellcare Dual Access (HMO D-SNP)H0174-0041NoNoNo
Wellcare Dual Access (HMO-POS D-SNP)H0351-0661NoNoNo
Wellcare Dual Access (HMO-POS D-SNP)H0351-0681NoNoNo
Wellcare Dual Access (HMO-POS D-SNP)H0712-0051NoNoNo
Wellcare Dual Access (HMO-POS D-SNP)H1112-0061NoNoNo
Wellcare Dual Access (HMO-POS D-SNP)H1112-0471NoNoNo
Wellcare Dual Access (HMO-POS D-SNP)H1862-0041NoNoNo
Wellcare Dual Access (HMO-POS D-SNP)H2491-0331NoNoNo
Wellcare Dual Access (HMO-POS D-SNP)H2491-0331NoNoNo
Wellcare Dual Access (HMO-POS D-SNP)H4073-0021NoNoNo
Wellcare Dual Access (HMO-POS D-SNP)H9364-0021NoNoNo
Wellcare Dual Access Open (PPO D-SNP)H0074-0041NoNoNo
Wellcare Dual Access Open (PPO D-SNP)H0111-0041NoNoNo
Wellcare Dual Access Open (PPO D-SNP)H4537-0041NoNoNo
Wellcare Dual Access Open (PPO D-SNP)H5965-0061NoNoNo
Wellcare Dual Access Open (PPO D-SNP)H7518-0031NoNoNo
Wellcare Dual Access Sync (HMO-POS D-SNP)H9730-0031NoNoNo
Wellcare Dual Access Sync Open (PPO D-SNP)H3975-0041NoNoNo
Wellcare Dual Liberty (HMO D-SNP)H0174-0061NoNoNo
Wellcare Dual Liberty (HMO D-SNP)H0712-0291NoNoNo
Wellcare Dual Liberty (HMO-POS D-SNP)H1112-0331NoNoNo
Wellcare Dual Liberty (HMO-POS D-SNP)H2491-0321NoNoNo
Wellcare Dual Liberty (HMO-POS D-SNP)H2491-0321NoNoNo
Wellcare Dual Liberty (HMO-POS D-SNP)H4073-0041NoNoNo
Wellcare Dual Liberty (HMO-POS D-SNP)H9364-0031NoNoNo
Wellcare Dual Liberty Open (PPO D-SNP)H1914-0081NoNoNo
Wellcare Dual Liberty Sync (HMO D-SNP)H0174-0231NoNoNo
Wellcare Dual Liberty Sync (HMO D-SNP)H0174-0241NoNoNo
Wellcare Dual Liberty Sync (HMO D-SNP)H0174-0251NoNoNo
Wellcare Dual Liberty Sync (HMO D-SNP)H0174-0261NoNoNo
Wellcare Dual Liberty Sync (HMO-POS D-SNP)H1862-0031NoNoNo
Wellcare Dual Liberty Sync (HMO-POS D-SNP)H9730-0041NoNoNo
Wellcare Dual Liberty Sync Open (PPO D-SNP)H5965-0041NoNoNo
Wellcare Dual Reserve (HMO D-SNP)H0174-0221NoNoNo
Wellcare Dual Reserve (HMO-POS D-SNP)H1112-0461NoNoNo
Wellcare Dual Reserve (HMO-POS D-SNP)H1112-0481NoNoNo
Wellcare Dual Reserve (HMO-POS D-SNP)H1862-0061NoNoNo
Wellcare Dual Reserve (HMO-POS D-SNP)H2491-0251NoNoNo
Wellcare Dual Reserve (HMO-POS D-SNP)H4073-0031NoNoNo
Wellcare Dual Reserve (HMO-POS D-SNP)H9730-0111NoNoNo
Wellcare Fidelis Dual Align (HMO D-SNP)H0913-0131NoNoNo
Wellcare Giveback (HMO-POS)H0712-0321NoNoNo
Wellcare Giveback (HMO-POS)H0913-0211NoNoNo
Wellcare Giveback (HMO-POS)H1112-0421NoNoNo
Wellcare Giveback (HMO-POS)H2491-0311NoNoNo
Wellcare Giveback (HMO-POS)H4847-0071NoNoNo
Wellcare Giveback (HMO-POS)H9364-0041NoNoNo
Wellcare Giveback (HMO-POS)H9730-0071NoNoNo
Wellcare Giveback (HMO)H0174-0171NoNoNo
Wellcare Giveback (HMO)H0174-0181NoNoNo
Wellcare Giveback (HMO)H0174-0191NoNoNo
Wellcare Giveback (HMO)H0174-0201NoNoNo
Wellcare Giveback (HMO)H0174-0211NoNoNo
Wellcare Giveback (HMO)H0351-0541NoNoNo
Wellcare Giveback (HMO)H0351-0641NoNoNo
Wellcare Giveback (HMO)H5087-0321NoNoNo
Showing 100 of 197 covering plans.
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.

Jantoven at other payers

Or see Jantoven 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.