Prior authorization required

Does Hcsc Insurance Services Company require prior authorization for Austedo?

Hcsc Insurance Services Company requires prior authorization for Austedo 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 product	Plans covering	Require prior auth	Qty limit	Status
deutetrabenazine 12 MG Oral Tablet [Austedo]1876916	18 / 18	18	18	Prior authorization required
deutetrabenazine 6 MG Oral Tablet [Austedo]1876920	18 / 18	18	18	Prior authorization required
deutetrabenazine 9 MG Oral Tablet [Austedo]1876924	18 / 18	18	18	Prior authorization required
24 HR deutetrabenazine 12 MG Extended Release Oral Tablet [Austedo]2630147	18 / 18	18	18	Prior authorization required
24 HR deutetrabenazine 24 MG Extended Release Oral Tablet [Austedo]2630153	18 / 18	18	18	Prior authorization required
24 HR deutetrabenazine 6 MG Extended Release Oral Tablet [Austedo]2630157	18 / 18	18	18	Prior authorization required
24 HR deutetrabenazine 30 MG Extended Release Oral Tablet [Austedo]2683285	18 / 18	18	18	Prior authorization required
24 HR deutetrabenazine 36 MG Extended Release Oral Tablet [Austedo]2683291	18 / 18	18	18	Prior authorization required
24 HR deutetrabenazine 42 MG Extended Release Oral Tablet [Austedo]2683297	18 / 18	18	18	Prior authorization required
24 HR deutetrabenazine 48 MG Extended Release Oral Tablet [Austedo]2683303	18 / 18	18	18	Prior authorization required
24 HR deutetrabenazine 18 MG Extended Release Oral Tablet [Austedo]2686156	18 / 18	18	18	Prior authorization required

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

Plan-by-plan detail — deutetrabenazine 12 MG Oral Tablet [Austedo]

Austedo has 11 products in the corpus; this table is for deutetrabenazine 12 MG Oral Tablet [Austedo], the one carried on the most plans. The product table above covers every strength.

Plan	Contract	Tier	Prior auth	Step therapy	Qty limit
Blue Cross Medicare Advantage Access (PPO)	H1666-021	5	Yes	No	Yes
Blue Cross Medicare Advantage Balance (PPO)	H1666-019	5	Yes	No	Yes
Blue Cross Medicare Advantage Balance (PPO)	H1666-023	5	Yes	No	Yes
Blue Cross Medicare Advantage Choice Plus (PPO)	H1666-006	5	Yes	No	Yes
Blue Cross Medicare Advantage Choice Plus (PPO)	H1666-008	5	Yes	No	Yes
Blue Cross Medicare Advantage Choice Premier (PPO)	H1666-003	5	Yes	No	Yes
Blue Cross Medicare Advantage Choice Premier (PPO)	H1666-012	5	Yes	No	Yes
Blue Cross Medicare Advantage Dental Premier (PPO)	H1666-016	5	Yes	No	Yes
Blue Cross Medicare Advantage Dental Value (HMO)	H9706-007	5	Yes	No	Yes
Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)	H9706-002	1	Yes	No	Yes
Blue Cross Medicare Advantage Health Choice (PPO)	H1666-014	5	Yes	No	Yes
Blue Cross Medicare Advantage Optimum (PPO)	H1666-020	5	Yes	No	Yes
Blue Cross Medicare Advantage Optimum (PPO)	H1666-022	5	Yes	No	Yes
Blue Cross Medicare Advantage Optimum (PPO)	H1666-024	5	Yes	No	Yes
Blue Cross Medicare Advantage Saver (HMO)	H9706-008	5	Yes	No	Yes
Blue Cross Medicare Advantage Secure (HMO)	H9706-005	5	Yes	No	Yes
Blue Cross Medicare Advantage Value (HMO)	H9706-001	5	Yes	No	Yes
Blue Cross Medicare Advantage Value (HMO)	H9706-009	5	Yes	No	Yes

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.

Austedo at other payers

Or see Austedo 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.