Benefily
Prior authorization required

Does Essence Healthcare PPO, INC. require prior authorization for Vigadrone?

Essence Healthcare PPO, INC. requires prior authorization for Vigadrone 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 productPlans coveringRequire prior authStep therapyQty limitStatus
vigabatrin 500 MG Powder for Oral Solution [Vigadrone]20478687 / 7700Prior authorization required
vigabatrin 500 MG Oral Tablet [Vigadrone]26423537 / 7700Prior authorization required

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

Plan-by-plan detail — vigabatrin 500 MG Powder for Oral Solution [Vigadrone]

Vigadrone has 2 products in the corpus; this table is for vigabatrin 500 MG Powder for Oral Solution [Vigadrone], the one carried on the most plans. The product table above covers every strength.

PlanContractTierPrior authStep therapyQty limit
Essence Advantage Choice (PPO)H6200-0015YesNoNo
Essence Advantage Choice (PPO)H6200-0045YesNoNo
Essence Advantage Choice (PPO)H6200-0065YesNoNo
Essence Advantage Choice (PPO)H6200-0095YesNoNo
Essence Advantage Choice Plus (PPO)H6200-0105YesNoNo
Essence Advantage Premier Plus (PPO)H6200-0085YesNoNo
Essence Advantage Premier Plus (PPO)H6200-0115YesNoNo
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.

Vigadrone at other payers

Or see Vigadrone 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.