No prior authorization
Does Cigna require prior authorization for YF-Vax?
Cigna does not require prior authorization for YF-Vax 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 product | Plans covering | Require prior auth | Step therapy | Qty limit | Status |
|---|---|---|---|---|---|
| yellow fever virus strain 17D-204 live antigen 4000 UNT/ML Injectable Suspension [YF-Vax]1292828 | 171 / 171 | 0 | 0 | 0 | No prior authorization |
| 0.5 ML yellow fever virus strain 17D-204 live antigen 4000 UNT/ML Injection [YF-Vax]1658241 | 171 / 171 | 0 | 0 | 0 | No prior authorization |
Product names come from RxNorm (U.S. National Library of Medicine).
Plan-by-plan detail — yellow fever virus strain 17D-204 live antigen 4000 UNT/ML Injectable Suspension [YF-Vax]
YF-Vax has 2 products in the corpus; this table is for yellow fever virus strain 17D-204 live antigen 4000 UNT/ML Injectable Suspension [YF-Vax], the one carried on the most plans. The product table above covers every strength.
| Plan | Contract | Tier | Prior auth | Step therapy | Qty limit |
|---|---|---|---|---|---|
| HealthSpring Achieve (HMO C-SNP) | H4407-034 | 3 | No | No | No |
| HealthSpring Achieve (HMO C-SNP) | H4513-094 | 3 | No | No | No |
| HealthSpring Achieve (HMO C-SNP) | H4513-097 | 3 | No | No | No |
| HealthSpring Achieve (HMO C-SNP) | H4513-098 | 3 | No | No | No |
| HealthSpring Alliance (HMO) | H4513-064 | 3 | No | No | No |
| HealthSpring Preferred (HMO) | H0439-008 | 3 | No | No | No |
| HealthSpring Preferred (HMO) | H0439-009 | 3 | No | No | No |
| HealthSpring Preferred (HMO) | H0439-010 | 3 | No | No | No |
| HealthSpring Preferred (HMO) | H0439-011 | 3 | No | No | No |
| HealthSpring Preferred (HMO) | H0439-013 | 3 | No | No | No |
| HealthSpring Preferred (HMO) | H0439-015 | 3 | No | No | No |
| HealthSpring Preferred (HMO) | H0439-015 | 3 | No | No | No |
| HealthSpring Preferred (HMO) | H0439-020 | 3 | No | No | No |
| HealthSpring Preferred (HMO) | H0672-005 | 3 | No | No | No |
| HealthSpring Preferred (HMO) | H0672-006 | 3 | No | No | No |
| HealthSpring Preferred (HMO) | H0672-013 | 3 | No | No | No |
| HealthSpring Preferred (HMO) | H0672-024 | 3 | No | No | No |
| HealthSpring Preferred (HMO) | H4407-030 | 3 | No | No | No |
| HealthSpring Preferred (HMO) | H4407-030 | 3 | No | No | No |
| HealthSpring Preferred (HMO) | H4407-030 | 3 | No | No | No |
| HealthSpring Preferred (HMO) | H4407-033 | 3 | No | No | No |
| HealthSpring Preferred (HMO) | H4407-035 | 3 | No | No | No |
| HealthSpring Preferred (HMO) | H4513-026 | 3 | No | No | No |
| HealthSpring Preferred (HMO) | H4513-030 | 3 | No | No | No |
| HealthSpring Preferred (HMO) | H4513-037 | 3 | No | No | No |
| HealthSpring Preferred (HMO) | H4513-038 | 3 | No | No | No |
| HealthSpring Preferred (HMO) | H4513-049 | 3 | No | No | No |
| HealthSpring Preferred (HMO) | H4513-049 | 3 | No | No | No |
| HealthSpring Preferred (HMO) | H4513-049 | 3 | No | No | No |
| HealthSpring Preferred (HMO) | H4513-049 | 3 | No | No | No |
| HealthSpring Preferred (HMO) | H4513-049 | 3 | No | No | No |
| HealthSpring Preferred (HMO) | H4513-050 | 3 | No | No | No |
| HealthSpring Preferred (HMO) | H4513-052 | 3 | No | No | No |
| HealthSpring Preferred (HMO) | H4513-061 | 3 | No | No | No |
| HealthSpring Preferred (HMO) | H4513-061 | 3 | No | No | No |
| HealthSpring Preferred (HMO) | H4513-061 | 3 | No | No | No |
| HealthSpring Preferred (HMO) | H4513-061 | 3 | No | No | No |
| HealthSpring Preferred (HMO) | H4513-061 | 3 | No | No | No |
| HealthSpring Preferred (HMO) | H4513-074 | 3 | No | No | No |
| HealthSpring Preferred (HMO) | H4513-077 | 3 | No | No | No |
| HealthSpring Preferred (HMO) | H4513-077 | 3 | No | No | No |
| HealthSpring Preferred (HMO) | H4513-077 | 3 | No | No | No |
| HealthSpring Preferred (HMO) | H4513-077 | 3 | No | No | No |
| HealthSpring Preferred (HMO) | H4513-085 | 3 | No | No | No |
| HealthSpring Preferred (HMO) | H5410-018 | 3 | No | No | No |
| HealthSpring Preferred (HMO) | H5410-024 | 3 | No | No | No |
| HealthSpring Preferred (HMO) | H5410-059 | 3 | No | No | No |
| HealthSpring Preferred (HMO) | H5410-060 | 3 | No | No | No |
| HealthSpring Preferred (HMO) | H7020-011 | 3 | No | No | No |
| HealthSpring Preferred (HMO) | H7020-011 | 3 | No | No | No |
| HealthSpring Preferred (HMO) | H7020-011 | 3 | No | No | No |
| HealthSpring Preferred (HMO) | H9460-001 | 3 | No | No | No |
| HealthSpring Preferred AL (HMO) | H4513-046 | 3 | No | No | No |
| HealthSpring Preferred AL (HMO) | H4513-046 | 3 | No | No | No |
| HealthSpring Preferred Full Savings (HMO) | H4513-088 | 3 | No | No | No |
| HealthSpring Preferred Full Savings (HMO) | H4513-089 | 3 | No | No | No |
| HealthSpring Preferred Full Savings (HMO) | H4513-090 | 3 | No | No | No |
| HealthSpring Preferred Full Savings (HMO) | H4513-091 | 3 | No | No | No |
| HealthSpring Preferred Full Savings (HMO) | H4513-092 | 3 | No | No | No |
| HealthSpring Preferred Full Savings (HMO) | H4513-093 | 3 | No | No | No |
| HealthSpring Preferred GA (HMO) | H0439-003 | 3 | No | No | No |
| HealthSpring Preferred GA (HMO) | H0439-003 | 3 | No | No | No |
| HealthSpring Preferred Plus (HMO) | H0439-006 | 3 | No | No | No |
| HealthSpring Preferred Plus (HMO) | H4407-027 | 3 | No | No | No |
| HealthSpring Preferred Plus (HMO) | H4513-087 | 3 | No | No | No |
| HealthSpring Preferred Plus (HMO) | H4513-087 | 3 | No | No | No |
| HealthSpring Preferred Plus (HMO) | H4513-087 | 3 | No | No | No |
| HealthSpring Preferred Plus (HMO) | H4513-087 | 3 | No | No | No |
| HealthSpring Preferred Savings (HMO) | H0439-016 | 3 | No | No | No |
| HealthSpring Preferred Savings (HMO) | H0439-017 | 3 | No | No | No |
| HealthSpring Preferred Savings (HMO) | H0439-018 | 3 | No | No | No |
| HealthSpring Preferred Savings (HMO) | H0439-019 | 3 | No | No | No |
| HealthSpring Preferred Savings (HMO) | H0439-021 | 3 | No | No | No |
| HealthSpring Preferred Savings (HMO) | H0672-016 | 3 | No | No | No |
| HealthSpring Preferred Savings (HMO) | H0672-017 | 3 | No | No | No |
| HealthSpring Preferred Savings (HMO) | H4513-068 | 3 | No | No | No |
| HealthSpring Preferred Savings (HMO) | H4513-068 | 3 | No | No | No |
| HealthSpring Preferred Savings (HMO) | H4513-068 | 3 | No | No | No |
| HealthSpring Preferred Savings (HMO) | H4513-073 | 3 | No | No | No |
| HealthSpring Preferred Savings (HMO) | H4513-083 | 3 | No | No | No |
| HealthSpring Preferred Savings (HMO) | H4513-083 | 3 | No | No | No |
| HealthSpring Preferred Savings (HMO) | H4513-083 | 3 | No | No | No |
| HealthSpring Preferred Savings (HMO) | H4513-083 | 3 | No | No | No |
| HealthSpring Preferred Savings (HMO) | H4513-083 | 3 | No | No | No |
| HealthSpring Preferred Savings (HMO) | H4513-083 | 3 | No | No | No |
| HealthSpring Preferred Savings (HMO) | H4513-083 | 3 | No | No | No |
| HealthSpring Preferred Savings (HMO) | H4513-086 | 3 | No | No | No |
| HealthSpring Preferred Savings (HMO) | H4513-095 | 3 | No | No | No |
| HealthSpring Preferred Savings (HMO) | H5410-026 | 3 | No | No | No |
| HealthSpring Preferred Savings (HMO) | H7020-010 | 3 | No | No | No |
| HealthSpring Preferred Savings (HMO) | H7020-010 | 3 | No | No | No |
| HealthSpring Preferred Savings (HMO) | H7020-010 | 3 | No | No | No |
| HealthSpring Preferred Savings (HMO) | H9460-003 | 3 | No | No | No |
| HealthSpring Premier (HMO-POS) | H0439-024 | 3 | No | No | No |
| HealthSpring Premier (HMO-POS) | H4513-036 | 3 | No | No | No |
| HealthSpring Premier (HMO-POS) | H4513-084 | 3 | No | No | No |
| HealthSpring Premier (HMO-POS) | H4513-096 | 3 | No | No | No |
| HealthSpring Primary (HMO) | H4513-035 | 3 | No | No | No |
| HealthSpring Primary (HMO) | H4513-053 | 3 | No | No | No |
| HealthSpring TotalCare (HMO D-SNP) | H0439-002 | 3 | No | No | No |
Showing 100 of 171 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.
YF-Vax 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.