Prior authorization required

Does Community Insurance Company require prior authorization for Ibrance?

Community Insurance Company requires prior authorization for Ibrance 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	Qty limit	Status
palbociclib 100 MG Oral Capsule [Ibrance]1601386	10 / 10	10	10	Prior authorization required
palbociclib 125 MG Oral Capsule [Ibrance]1601390	10 / 10	10	10	Prior authorization required
palbociclib 75 MG Oral Capsule [Ibrance]1601394	10 / 10	10	10	Prior authorization required
palbociclib 100 MG Oral Tablet [Ibrance]2284104	10 / 10	10	10	Prior authorization required
palbociclib 125 MG Oral Tablet [Ibrance]2284106	10 / 10	10	10	Prior authorization required
palbociclib 75 MG Oral Tablet [Ibrance]2284108	10 / 10	10	10	Prior authorization required

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

Plan-by-plan detail — palbociclib 100 MG Oral Capsule [Ibrance]

Ibrance has 6 products in the corpus; this table is for palbociclib 100 MG Oral Capsule [Ibrance], the one carried on the most plans. The product table above covers every strength.

Plan	Contract	Tier	Prior auth	Step therapy	Qty limit
Anthem Dual Advantage (HMO D-SNP)	H2628-005	5	Yes	No	Yes
Anthem Extra Help (HMO-POS)	H3655-041	5	Yes	No	Yes
Anthem Full Dual Advantage (HMO D-SNP)	H2628-003	5	Yes	No	Yes
Anthem Full Dual Advantage 2 (HMO D-SNP)	H2628-004	5	Yes	No	Yes
Anthem I MyCare Ohio Full Dual Advantage (HMO D-SNP)	H2628-001	5	Yes	No	Yes
Anthem Medicare Advantage (HMO-POS)	H3655-045	5	Yes	No	Yes
Anthem Medicare Advantage (HMO-POS)	H3655-045	5	Yes	No	Yes
Anthem Medicare Advantage (HMO-POS)	H3655-045	5	Yes	No	Yes
Anthem Medicare Advantage (HMO-POS)	H3655-045	5	Yes	No	Yes
Anthem Medicare Advantage (PPO)	H7093-002	5	Yes	No	Yes

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.

Ibrance at other payers

Or see Ibrance 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.