Does Champion Health Plan Of California INC require prior authorization for Epclusa?
Champion Health Plan Of California INC requires prior authorization for Epclusa 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 | Step therapy | Qty limit | Status |
|---|---|---|---|---|---|
| sofosbuvir 400 MG / velpatasvir 100 MG Oral Tablet [Epclusa]1799218 | 7 / 7 | 7 | 0 | 7 | Prior authorization required |
| sofosbuvir 200 MG / velpatasvir 50 MG Oral Tablet [Epclusa]2288816 | 7 / 7 | 7 | 0 | 7 | Prior authorization required |
| sofosbuvir 150 MG / velpatasvir 37.5 MG Oral Pellet [Epclusa]2584199 | 7 / 7 | 7 | 0 | 7 | Prior authorization required |
| sofosbuvir 200 MG / velpatasvir 50 MG Oral Pellet [Epclusa]2584201 | 7 / 7 | 7 | 0 | 7 | Prior authorization required |
Product names come from RxNorm (U.S. National Library of Medicine).
Plan-by-plan detail — sofosbuvir 400 MG / velpatasvir 100 MG Oral Tablet [Epclusa]
Epclusa has 4 products in the corpus; this table is for sofosbuvir 400 MG / velpatasvir 100 MG Oral Tablet [Epclusa], the one carried on the most plans. The product table above covers every strength.
| Plan | Contract | Tier | Prior auth | Step therapy | Qty limit |
|---|---|---|---|---|---|
| Champion Advantage (HMO-POS C-SNP) | H6170-001 | 5 | Yes | No | Yes |
| Champion Ally (HMO) | H6170-007 | 5 | Yes | No | Yes |
| Champion Care (HMO C-SNP) | H6170-008 | 5 | Yes | No | Yes |
| Champion Choice (HMO C-SNP) | H6170-009 | 5 | Yes | No | Yes |
| Champion Connect (HMO-POS C-SNP) | H6170-002 | 5 | Yes | No | Yes |
| Champion Plus (HMO C-SNP) | H6170-010 | 5 | Yes | No | Yes |
| Champion Select (HMO-POS C-SNP) | H6170-003 | 5 | Yes | No | Yes |
- Effective
- 2026-06-30
- Retrieved
- 2026-07-19
- SHA-256
- e626e6bcda1aa6a0071e6f0df6bafe686ae41842cdf0a9feffdc649b6d3ff3ae
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Epclusa 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.