Benefily
Prior authorization required

Does Hcsc Insurance Services Company require prior authorization for Claravis?

Hcsc Insurance Services Company requires prior authorization for Claravis 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
isotretinoin 10 MG Oral Capsule [Claravis]40405918 / 181800Prior authorization required
isotretinoin 20 MG Oral Capsule [Claravis]40406218 / 181800Prior authorization required
isotretinoin 40 MG Oral Capsule [Claravis]40406518 / 181800Prior authorization required
isotretinoin 30 MG Oral Capsule [Claravis]64348818 / 181800Prior authorization required

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

Plan-by-plan detail — isotretinoin 10 MG Oral Capsule [Claravis]

Claravis has 4 products in the corpus; this table is for isotretinoin 10 MG Oral Capsule [Claravis], the one carried on the most plans. The product table above covers every strength.

PlanContractTierPrior authStep therapyQty limit
Blue Cross Medicare Advantage Access (PPO)H1666-0214YesNoNo
Blue Cross Medicare Advantage Balance (PPO)H1666-0194YesNoNo
Blue Cross Medicare Advantage Balance (PPO)H1666-0234YesNoNo
Blue Cross Medicare Advantage Choice Plus (PPO)H1666-0064YesNoNo
Blue Cross Medicare Advantage Choice Plus (PPO)H1666-0084YesNoNo
Blue Cross Medicare Advantage Choice Premier (PPO)H1666-0034YesNoNo
Blue Cross Medicare Advantage Choice Premier (PPO)H1666-0124YesNoNo
Blue Cross Medicare Advantage Dental Premier (PPO)H1666-0164YesNoNo
Blue Cross Medicare Advantage Dental Value (HMO)H9706-0074YesNoNo
Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)H9706-0021YesNoNo
Blue Cross Medicare Advantage Health Choice (PPO)H1666-0144YesNoNo
Blue Cross Medicare Advantage Optimum (PPO)H1666-0204YesNoNo
Blue Cross Medicare Advantage Optimum (PPO)H1666-0224YesNoNo
Blue Cross Medicare Advantage Optimum (PPO)H1666-0244YesNoNo
Blue Cross Medicare Advantage Saver (HMO)H9706-0084YesNoNo
Blue Cross Medicare Advantage Secure (HMO)H9706-0054YesNoNo
Blue Cross Medicare Advantage Value (HMO)H9706-0014YesNoNo
Blue Cross Medicare Advantage Value (HMO)H9706-0094YesNoNo
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.

Claravis at other payers

Or see Claravis 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.