Benefily
No prior authorization

Does Harmony Health Plan, INC. require prior authorization for Liomny?

Harmony Health Plan, INC. does not require prior authorization for Liomny 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
liothyronine sodium 0.025 MG Oral Tablet [Liomny]272358119 / 19000No prior authorization
liothyronine sodium 0.05 MG Oral Tablet [Liomny]272358319 / 19000No prior authorization
liothyronine sodium 0.005 MG Oral Tablet [Liomny]272358519 / 19000No prior authorization

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

Plan-by-plan detail — liothyronine sodium 0.025 MG Oral Tablet [Liomny]

Liomny has 3 products in the corpus; this table is for liothyronine sodium 0.025 MG Oral Tablet [Liomny], the one carried on the most plans. The product table above covers every strength.

PlanContractTierPrior authStep therapyQty limit
Wellcare Assist (HMO-POS)H1416-0422NoNoNo
Wellcare Assist (HMO-POS)H1416-0682NoNoNo
Wellcare Assist (HMO-POS)H1416-0832NoNoNo
Wellcare Dual Access (HMO-POS D-SNP)H1416-0342NoNoNo
Wellcare Dual Access (HMO-POS D-SNP)H1416-0352NoNoNo
Wellcare Dual Access Harmony (HMO-POS D-SNP)H1416-0332NoNoNo
Wellcare Dual Liberty (HMO-POS D-SNP)H1416-0442NoNoNo
Wellcare Dual Liberty Nurture (HMO-POS D-SNP)H1416-0432NoNoNo
Wellcare Dual Reserve (HMO-POS D-SNP)H1416-0812NoNoNo
Wellcare Giveback (HMO-POS)H1416-0652NoNoNo
Wellcare Giveback (HMO-POS)H1416-0792NoNoNo
Wellcare Giveback Dividend (HMO-POS)H1416-0642NoNoNo
Wellcare Low Premium (HMO-POS)H1416-0262NoNoNo
Wellcare Simple (HMO-POS)H1416-0092NoNoNo
Wellcare Simple (HMO-POS)H1416-0712NoNoNo
Wellcare Simple (HMO-POS)H1416-0722NoNoNo
Wellcare Simple (HMO-POS)H1416-0772NoNoNo
Wellcare Simple Preferred (HMO-POS)H1416-0552NoNoNo
Wellcare Simple Value (HMO-POS)H1416-0822NoNoNo
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.

Liomny at other payers

Or see Liomny 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.