Does Clover Health require prior authorization for Emtriva?
Clover Health does not require prior authorization for Emtriva 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 product | Plans covering | Require prior auth | Step therapy | Qty limit | Status |
|---|---|---|---|---|---|
| emtricitabine 200 MG Oral Capsule [Emtriva]404587 | 0 / 13 | 0 | 0 | 0 | Not on formulary |
| emtricitabine 10 MG/ML Oral Solution [Emtriva]616148 | 13 / 13 | 0 | 0 | 0 | No prior authorization |
Product names come from RxNorm (U.S. National Library of Medicine).
Plan-by-plan detail — emtricitabine 10 MG/ML Oral Solution [Emtriva]
Emtriva has 2 products in the corpus; this table is for emtricitabine 10 MG/ML Oral Solution [Emtriva], the one carried on the most plans. The product table above covers every strength.
| Plan | Contract | Tier | Prior auth | Step therapy | Qty limit |
|---|---|---|---|---|---|
| Clover Health Choice (PPO) | H5141-004 | 4 | No | No | No |
| Clover Health Choice (PPO) | H5141-025 | 4 | No | No | No |
| Clover Health Choice (PPO) | H5141-032 | 4 | No | No | No |
| Clover Health Choice (PPO) | H5141-038 | 4 | No | No | No |
| Clover Health Choice Giveback (PPO) | H5141-054 | 4 | No | No | No |
| Clover Health Choice Value (PPO) | H5141-007 | 4 | No | No | No |
| Clover Health Choice Value (PPO) | H5141-042 | 4 | No | No | No |
| Clover Health Classic (HMO) | H8010-002 | 4 | No | No | No |
| Clover Health LiveHealthy (PPO) | H5141-026 | 4 | No | No | No |
| Clover Health LiveHealthy (PPO) | H5141-036 | 4 | No | No | No |
| Clover Health LiveHealthy Giveback (PPO) | H5141-063 | 4 | No | No | No |
| Clover Health LiveHealthy Value (PPO) | H5141-045 | 4 | No | No | No |
| Clover Health Value (HMO) | H8010-003 | 4 | No | No | No |
- 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.
Emtriva 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.