Benefily
Prior authorization required

Does Excellus Health Plan, INC. require prior authorization for Aimovig?

Excellus Health Plan, INC. requires prior authorization for Aimovig 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
1 ML erenumab-aooe 70 MG/ML Auto-Injector [Aimovig]204563816 / 1616016Prior authorization required
1 ML erenumab-aooe 140 MG/ML Auto-Injector [Aimovig]212019516 / 1616016Prior authorization required

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

Plan-by-plan detail — 1 ML erenumab-aooe 70 MG/ML Auto-Injector [Aimovig]

Aimovig has 2 products in the corpus; this table is for 1 ML erenumab-aooe 70 MG/ML Auto-Injector [Aimovig], the one carried on the most plans. The product table above covers every strength.

PlanContractTierPrior authStep therapyQty limit
Medicare Blue Choice Core (HMO)H3351-0223YesNoYes
Medicare Blue Choice Optimum (HMO-POS)H3351-0063YesNoYes
Medicare Blue Choice Prime (HMO)H3351-0233YesNoYes
Medicare BlueActive (PPO)H3335-0553YesNoYes
Medicare BlueBalanced (PPO)H3335-0623YesNoYes
Medicare BlueClassic (PPO)H3335-0383YesNoYes
Medicare BlueEnhanced (PPO)H3335-0153YesNoYes
Medicare BlueEssential (PPO)H3335-0533YesNoYes
Medicare BluePlus (PPO)H3335-0183YesNoYes
Medicare BlueVital (PPO)H3335-0613YesNoYes
Univera SeniorChoice Advanced (HMO-POS)H3351-0193YesNoYes
Univera SeniorChoice Basic (HMO)H3351-0173YesNoYes
Univera SeniorChoice Core (PPO)H3335-0603YesNoYes
Univera SeniorChoice Extra (HMO)H3351-0203YesNoYes
Univera SeniorChoice Secure (HMO-POS)H3351-0023YesNoYes
Univera SeniorChoice Value Plus (HMO-POS)H3351-0123YesNoYes
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.

Aimovig at other payers

Or see Aimovig 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.