Benefily
Prior authorization required

Does Hawaii Medical Service Association require prior authorization for Intralipid?

Hawaii Medical Service Association requires prior authorization for Intralipid 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
250 ML soybean oil 200 MG/ML Injection [Intralipid]17997064 / 4400Prior authorization required
soybean oil 300 MG/ML Injectable Suspension [Intralipid]8051314 / 4400Prior authorization required

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

Plan-by-plan detail — 250 ML soybean oil 200 MG/ML Injection [Intralipid]

Intralipid has 2 products in the corpus; this table is for 250 ML soybean oil 200 MG/ML Injection [Intralipid], the one carried on the most plans. The product table above covers every strength.

PlanContractTierPrior authStep therapyQty limit
HMSA Akamai Advantage Complete (PPO)H3832-0094YesNoNo
HMSA Akamai Advantage Complete Plus (PPO)H3832-0104YesNoNo
HMSA Akamai Advantage Standard (PPO)H3832-0074YesNoNo
HMSA Akamai Advantage Standard Plus (PPO)H3832-0084YesNoNo
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.

Intralipid at other payers

Or see Intralipid 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.