Benefily
Varies by plan

Does Compcare Health Services Insurance Corporation require prior authorization for Ibrance?

Prior authorization for Ibrance differs across Compcare Health Services Insurance Corporation's Medicare Part D plans and product strengths — 4 of 6 Ibrance products in the corpus appear on their formularies, and the requirement is not uniform. Check the member's specific plan.

Some plans require authorization and others do not. The member's specific plan decides.

  • 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
palbociclib 100 MG Oral Capsule [Ibrance]160138610 / 1010010Prior authorization required
palbociclib 125 MG Oral Capsule [Ibrance]160139010 / 1010010Prior authorization required
palbociclib 75 MG Oral Capsule [Ibrance]160139410 / 1010010Prior authorization required
palbociclib 100 MG Oral Tablet [Ibrance]228410410 / 1010010Prior authorization required
palbociclib 125 MG Oral Tablet [Ibrance]22841060 / 10000Not on formulary
palbociclib 75 MG Oral Tablet [Ibrance]22841080 / 10000Not on formulary

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.

PlanContractTierPrior authStep therapyQty limit
Anthem Full Dual Advantage (HMO D-SNP)H9525-0035YesNoYes
Anthem Full Dual Advantage 2 (HMO D-SNP)H9525-0185YesNoYes
Anthem Kidney Care (HMO-POS C-SNP)H9525-0115YesNoYes
Anthem Medicare Advantage (HMO-POS)H9525-0045YesNoYes
Anthem Medicare Advantage (HMO-POS)H9525-0065YesNoYes
Anthem Medicare Advantage (HMO-POS)H9525-0135YesNoYes
Anthem Medicare Advantage (HMO-POS)H9525-0135YesNoYes
Anthem Medicare Advantage (HMO-POS)H9525-0135YesNoYes
Anthem Medicare Advantage (HMO-POS)H9525-0135YesNoYes
Anthem Medicare Advantage (HMO-POS)H9525-0135YesNoYes
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.