Benefily
No prior authorization

Does Champion Health Plan Of Nevada, INC. require prior authorization for Spiriva?

Champion Health Plan Of Nevada, INC. does not require prior authorization for Spiriva 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
60 ACTUAT tiotropium 0.0025 MG/ACTUAT Inhalation Spray [Spiriva]15520047 / 7007No prior authorization
60 ACTUAT tiotropium 0.00125 MG/ACTUAT Inhalation Spray [Spiriva]16678827 / 7007No prior authorization
tiotropium 0.018 MG Inhalation Powder [Spiriva]5802610 / 7000Not on formulary

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

Plan-by-plan detail — 60 ACTUAT tiotropium 0.0025 MG/ACTUAT Inhalation Spray [Spiriva]

Spiriva has 3 products in the corpus; this table is for 60 ACTUAT tiotropium 0.0025 MG/ACTUAT Inhalation Spray [Spiriva], the one carried on the most plans. The product table above covers every strength.

PlanContractTierPrior authStep therapyQty limit
Champion Advantage (HMO-POS C-SNP)H6474-0013NoNoYes
Champion Ally (HMO)H6474-0073NoNoYes
Champion Care (HMO C-SNP)H6474-0083NoNoYes
Champion Choice (HMO C-SNP)H6474-0093NoNoYes
Champion Connect (HMO-POS C-SNP)H6474-0023NoNoYes
Champion Plus (HMO C-SNP)H6474-0103NoNoYes
Champion Select (HMO-POS C-SNP)H6474-0033NoNoYes
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.

Spiriva at other payers

Or see Spiriva 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.