No prior authorization
Does Devoted Health require prior authorization for Edarbi?
Devoted Health does not require prior authorization for Edarbi on the Medicare Part D plans that cover it.
No covering plan from this payer files a prior-authorization requirement for this drug.
- No prior authorization is filed, but step therapy applies on 132 of 132 covering plans — the plan requires another drug be tried first.
By product strength
| RxNorm product | Plans covering | Require prior auth | Step therapy | Qty limit | Status |
|---|---|---|---|---|---|
| azilsartan medoxomil 40 MG Oral Tablet [Edarbi]1091650 | 132 / 415 | 0 | 132 | 132 | No prior authorization |
| azilsartan medoxomil 80 MG Oral Tablet [Edarbi]1091654 | 132 / 415 | 0 | 132 | 132 | No prior authorization |
Product names come from RxNorm (U.S. National Library of Medicine).
Plan-by-plan detail — azilsartan medoxomil 40 MG Oral Tablet [Edarbi]
Edarbi has 2 products in the corpus; this table is for azilsartan medoxomil 40 MG Oral Tablet [Edarbi], the one carried on the most plans. The product table above covers every strength.
| Plan | Contract | Tier | Prior auth | Step therapy | Qty limit |
|---|---|---|---|---|---|
| DEVOTED C-SNP 011 AZ (HMO C-SNP) | H8173-011 | 4 | No | Yes | Yes |
| DEVOTED C-SNP 046 TX (HMO C-SNP) | H7993-046 | 4 | No | Yes | Yes |
| DEVOTED C-SNP PREMIUM 014 AZ (HMO C-SNP) | H8173-014 | 4 | No | Yes | Yes |
| DEVOTED C-SNP PREMIUM 016 TN (HMO C-SNP) | H7605-016 | 4 | No | Yes | Yes |
| DEVOTED CHOICE 001 AL (PPO) | H9888-001 | 4 | No | Yes | Yes |
| DEVOTED CHOICE 001 CO (PPO) | H4808-001 | 4 | No | Yes | Yes |
| DEVOTED CHOICE 001 OH (PPO) | H2526-001 | 4 | No | Yes | Yes |
| DEVOTED CHOICE 001 SC (PPO) | H7028-001 | 4 | No | Yes | Yes |
| DEVOTED CHOICE 002 AL (PPO) | H9888-002 | 4 | No | Yes | Yes |
| DEVOTED CHOICE 002 AZ (PPO) | H6586-002 | 4 | No | Yes | Yes |
| DEVOTED CHOICE 002 CO (PPO) | H4808-002 | 4 | No | Yes | Yes |
| DEVOTED CHOICE 003 AZ (PPO) | H6586-003 | 4 | No | Yes | Yes |
| DEVOTED CHOICE 004 HI (PPO) | H2686-004 | 4 | No | Yes | Yes |
| DEVOTED CHOICE 004 HI (PPO) | H2686-004 | 4 | No | Yes | Yes |
| DEVOTED CHOICE 007 TN (PPO) | H9231-007 | 4 | No | Yes | Yes |
| DEVOTED CHOICE 010 TN (PPO) | H9231-010 | 4 | No | Yes | Yes |
| DEVOTED CHOICE 015 FL (PPO) | H9884-015 | 4 | No | Yes | Yes |
| DEVOTED CHOICE 015 TN (PPO) | H9231-015 | 4 | No | Yes | Yes |
| DEVOTED CHOICE GIVEBACK 001 TX (PPO) | H6813-001 | 4 | No | Yes | Yes |
| DEVOTED CHOICE GIVEBACK 002 SC (PPO) | H7028-002 | 4 | No | Yes | Yes |
| DEVOTED CHOICE GIVEBACK 002 TN (PPO) | H9231-002 | 4 | No | Yes | Yes |
| DEVOTED CHOICE GIVEBACK 003 CO (PPO) | H4808-003 | 4 | No | Yes | Yes |
| DEVOTED CHOICE GIVEBACK 003 PA (PPO) | H6018-003 | 4 | No | Yes | Yes |
| DEVOTED CHOICE GIVEBACK 005 HI (PPO) | H2686-005 | 4 | No | Yes | Yes |
| DEVOTED CHOICE GIVEBACK 005 HI (PPO) | H2686-005 | 4 | No | Yes | Yes |
| DEVOTED CHOICE GIVEBACK 005 TN (PPO) | H9231-005 | 4 | No | Yes | Yes |
| DEVOTED CHOICE GIVEBACK 006 AZ (PPO) | H6586-006 | 4 | No | Yes | Yes |
| DEVOTED CHOICE GIVEBACK 006 TN (PPO) | H9231-006 | 4 | No | Yes | Yes |
| DEVOTED CHOICE GIVEBACK 013 FL (PPO) | H9884-013 | 4 | No | Yes | Yes |
| DEVOTED CHOICE PREMIUM 002 OR (PPO) | H7199-002 | 4 | No | Yes | Yes |
| DEVOTED CHOICE PREMIUM 002 PA (PPO) | H6018-002 | 4 | No | Yes | Yes |
| DEVOTED CHOICE PREMIUM 006 HI (PPO) | H2686-006 | 4 | No | Yes | Yes |
| DEVOTED CHOICE PREMIUM 006 HI (PPO) | H2686-006 | 4 | No | Yes | Yes |
| DEVOTED CORE 001 AL (HMO) | H3080-001 | 4 | No | Yes | Yes |
| DEVOTED CORE 001 AZ (HMO) | H8173-001 | 4 | No | Yes | Yes |
| DEVOTED CORE 001 CO (HMO) | H7147-001 | 4 | No | Yes | Yes |
| DEVOTED CORE 001 FL (HMO) | H1290-001 | 4 | No | Yes | Yes |
| DEVOTED CORE 001 NC (HMO) | H5299-001 | 4 | No | Yes | Yes |
| DEVOTED CORE 001 OH (HMO) | H2697-001 | 4 | No | Yes | Yes |
| DEVOTED CORE 001 OR (HMO) | H2923-001 | 4 | No | Yes | Yes |
| DEVOTED CORE 001 SC (HMO) | H3041-001 | 4 | No | Yes | Yes |
| DEVOTED CORE 001 TN (HMO) | H7605-001 | 4 | No | Yes | Yes |
| DEVOTED CORE 002 FL (HMO) | H1290-002 | 4 | No | Yes | Yes |
| DEVOTED CORE 003 FL (HMO) | H1290-003 | 4 | No | Yes | Yes |
| DEVOTED CORE 003 TX (HMO) | H7993-003 | 4 | No | Yes | Yes |
| DEVOTED CORE 004 CO (HMO) | H7147-004 | 4 | No | Yes | Yes |
| DEVOTED CORE 004 OH (HMO) | H2697-004 | 4 | No | Yes | Yes |
| DEVOTED CORE 004 TN (HMO) | H7605-004 | 4 | No | Yes | Yes |
| DEVOTED CORE 004 TX (HMO) | H7993-004 | 4 | No | Yes | Yes |
| DEVOTED CORE 005 FL (HMO) | H1290-005 | 4 | No | Yes | Yes |
| DEVOTED CORE 007 AZ (HMO) | H8173-007 | 4 | No | Yes | Yes |
| DEVOTED CORE 007 OH (HMO) | H2697-007 | 4 | No | Yes | Yes |
| DEVOTED CORE 007 TN (HMO) | H7605-007 | 4 | No | Yes | Yes |
| DEVOTED CORE 007 TX (HMO) | H7993-007 | 4 | No | Yes | Yes |
| DEVOTED CORE 009 TN (HMO) | H7605-009 | 4 | No | Yes | Yes |
| DEVOTED CORE 010 TN (HMO) | H7605-010 | 4 | No | Yes | Yes |
| DEVOTED CORE 016 AZ (HMO) | H8173-016 | 4 | No | Yes | Yes |
| DEVOTED CORE 023 PA (HMO) | H6852-023 | 4 | No | Yes | Yes |
| DEVOTED CORE 025 FL (HMO) | H1290-025 | 4 | No | Yes | Yes |
| DEVOTED CORE 027 FL (HMO) | H1290-027 | 4 | No | Yes | Yes |
| DEVOTED CORE 029 FL (HMO) | H1290-029 | 4 | No | Yes | Yes |
| DEVOTED CORE 036 FL (HMO) | H1290-036 | 4 | No | Yes | Yes |
| DEVOTED CORE 036 FL (HMO) | H1290-036 | 4 | No | Yes | Yes |
| DEVOTED CORE 046 FL (HMO) | H1290-046 | 4 | No | Yes | Yes |
| DEVOTED CORE 050 FL (HMO) | H1290-050 | 4 | No | Yes | Yes |
| DEVOTED DUAL 004 AL (HMO D-SNP) | H3080-004 | 4 | No | Yes | Yes |
| DEVOTED DUAL 007 AL (HMO D-SNP) | H3080-007 | 4 | No | Yes | Yes |
| DEVOTED DUAL 007 CO (HMO D-SNP) | H7147-007 | 4 | No | Yes | Yes |
| DEVOTED DUAL 009 NC (HMO D-SNP) | H5299-009 | 4 | No | Yes | Yes |
| DEVOTED DUAL 011 OH (HMO D-SNP) | H2697-011 | 4 | No | Yes | Yes |
| DEVOTED DUAL 019 FL (HMO D-SNP) | H1290-019 | 4 | No | Yes | Yes |
| DEVOTED DUAL 020 FL (HMO D-SNP) | H1290-020 | 4 | No | Yes | Yes |
| DEVOTED DUAL 021 FL (HMO D-SNP) | H1290-021 | 4 | No | Yes | Yes |
| DEVOTED DUAL 022 FL (HMO D-SNP) | H1290-022 | 4 | No | Yes | Yes |
| DEVOTED DUAL 023 FL (HMO D-SNP) | H1290-023 | 4 | No | Yes | Yes |
| DEVOTED DUAL 024 FL (HMO D-SNP) | H1290-024 | 4 | No | Yes | Yes |
| DEVOTED DUAL 033 FL (HMO D-SNP) | H1290-033 | 4 | No | Yes | Yes |
| DEVOTED DUAL 034 FL (HMO D-SNP) | H1290-034 | 4 | No | Yes | Yes |
| DEVOTED DUAL 039 FL (HMO D-SNP) | H1290-039 | 4 | No | Yes | Yes |
| DEVOTED DUAL 041 FL (HMO D-SNP) | H1290-041 | 4 | No | Yes | Yes |
| DEVOTED DUAL 043 FL (HMO D-SNP) | H1290-043 | 4 | No | Yes | Yes |
| DEVOTED DUAL FULL 077 FL (HMO D-SNP) | H1290-077 | 4 | No | Yes | Yes |
| DEVOTED DUAL FULL 078 FL (HMO D-SNP) | H1290-078 | 4 | No | Yes | Yes |
| DEVOTED DUAL FULL 079 FL (HMO D-SNP) | H1290-079 | 4 | No | Yes | Yes |
| DEVOTED DUAL FULL 080 FL (HMO D-SNP) | H1290-080 | 4 | No | Yes | Yes |
| DEVOTED DUAL FULL 081 FL (HMO D-SNP) | H1290-081 | 4 | No | Yes | Yes |
| DEVOTED DUAL FULL 082 FL (HMO D-SNP) | H1290-082 | 4 | No | Yes | Yes |
| DEVOTED DUAL FULL 083 FL (HMO D-SNP) | H1290-083 | 4 | No | Yes | Yes |
| DEVOTED DUAL PLUS 003 AL (HMO D-SNP) | H3080-003 | 4 | No | Yes | Yes |
| DEVOTED DUAL PLUS 003 CO (HMO D-SNP) | H7147-003 | 4 | No | Yes | Yes |
| DEVOTED DUAL PLUS 006 AL (HMO D-SNP) | H3080-006 | 4 | No | Yes | Yes |
| DEVOTED DUAL PLUS 006 NC (HMO D-SNP) | H5299-006 | 4 | No | Yes | Yes |
| DEVOTED DUAL PLUS 010 OH (HMO D-SNP) | H2697-010 | 4 | No | Yes | Yes |
| DEVOTED DUAL PLUS 042 FL (HMO D-SNP) | H1290-042 | 4 | No | Yes | Yes |
| DEVOTED DUAL PLUS 052 FL (HMO D-SNP) | H1290-052 | 4 | No | Yes | Yes |
| DEVOTED DUAL PLUS 053 FL (HMO D-SNP) | H1290-053 | 4 | No | Yes | Yes |
| DEVOTED DUAL PLUS 054 FL (HMO D-SNP) | H1290-054 | 4 | No | Yes | Yes |
| DEVOTED DUAL PLUS 055 FL (HMO D-SNP) | H1290-055 | 4 | No | Yes | Yes |
| DEVOTED GIVEBACK 002 AL (HMO) | H3080-002 | 4 | No | Yes | Yes |
| DEVOTED GIVEBACK 002 NC (HMO) | H5299-002 | 4 | No | Yes | Yes |
Showing 100 of 132 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.
Edarbi 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.