Benefily
No prior authorization

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

Excellus Health Plan, INC. does not require prior authorization for Cartia 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
24 HR diltiazem hydrochloride 120 MG Extended Release Oral Capsule [Cartia]83122616 / 16000No prior authorization
24 HR diltiazem hydrochloride 180 MG Extended Release Oral Capsule [Cartia]83125516 / 16000No prior authorization
24 HR diltiazem hydrochloride 240 MG Extended Release Oral Capsule [Cartia]83130916 / 16000No prior authorization
24 HR diltiazem hydrochloride 300 MG Extended Release Oral Capsule [Cartia]83133816 / 16000No prior authorization

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

Plan-by-plan detail — 24 HR diltiazem hydrochloride 120 MG Extended Release Oral Capsule [Cartia]

Cartia has 4 products in the corpus; this table is for 24 HR diltiazem hydrochloride 120 MG Extended Release Oral Capsule [Cartia], the one carried on the most plans. The product table above covers every strength.

PlanContractTierPrior authStep therapyQty limit
Medicare Blue Choice Core (HMO)H3351-0222NoNoNo
Medicare Blue Choice Optimum (HMO-POS)H3351-0062NoNoNo
Medicare Blue Choice Prime (HMO)H3351-0232NoNoNo
Medicare BlueActive (PPO)H3335-0552NoNoNo
Medicare BlueBalanced (PPO)H3335-0622NoNoNo
Medicare BlueClassic (PPO)H3335-0382NoNoNo
Medicare BlueEnhanced (PPO)H3335-0152NoNoNo
Medicare BlueEssential (PPO)H3335-0532NoNoNo
Medicare BluePlus (PPO)H3335-0182NoNoNo
Medicare BlueVital (PPO)H3335-0612NoNoNo
Univera SeniorChoice Advanced (HMO-POS)H3351-0192NoNoNo
Univera SeniorChoice Basic (HMO)H3351-0172NoNoNo
Univera SeniorChoice Core (PPO)H3335-0602NoNoNo
Univera SeniorChoice Extra (HMO)H3351-0202NoNoNo
Univera SeniorChoice Secure (HMO-POS)H3351-0022NoNoNo
Univera SeniorChoice Value Plus (HMO-POS)H3351-0122NoNoNo
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.

Cartia at other payers

Or see Cartia 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.