Benefily
No prior authorization

Does Coordinated Care Corporation require prior authorization for Savella?

Coordinated Care Corporation does not require prior authorization for Savella 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 productPlans coveringRequire prior authStep therapyQty limitStatus
milnacipran hydrochloride 100 MG Oral Tablet [Savella]8331395 / 5005No prior authorization
milnacipran hydrochloride 12.5 MG Oral Tablet [Savella]8331435 / 5005No prior authorization
milnacipran hydrochloride 50 MG Oral Tablet [Savella]8331465 / 5005No prior authorization
milnacipran hydrochloride 25 MG Oral Tablet [Savella]8331495 / 5005No prior authorization

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

Plan-by-plan detail — milnacipran hydrochloride 100 MG Oral Tablet [Savella]

Savella has 4 products in the corpus; this table is for milnacipran hydrochloride 100 MG Oral Tablet [Savella], the one carried on the most plans. The product table above covers every strength.

PlanContractTierPrior authStep therapyQty limit
Wellcare Assist (HMO-POS)H3499-0083NoNoYes
Wellcare Assist Open (PPO)H6348-0093NoNoYes
Wellcare Giveback Open (PPO)H6348-0083NoNoYes
Wellcare Simple (HMO-POS)H3499-0023NoNoYes
Wellcare Simple Open (PPO)H6348-0023NoNoYes
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.

Savella at other payers

Or see Savella 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.