Benefily
Prior authorization required

Does Hcsc Insurance Services Company require prior authorization for Piqray 300 MG Daily Dose?

Hcsc Insurance Services Company requires prior authorization for Piqray 300 MG Daily Dose 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
{56 (alpelisib 150 MG Oral Tablet [Piqray]) } Pack [Piqray 300 MG Daily Dose]216932218 / 1818018Prior authorization required

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

Plan-by-plan detail — {56 (alpelisib 150 MG Oral Tablet [Piqray]) } Pack [Piqray 300 MG Daily Dose]

PlanContractTierPrior authStep therapyQty limit
Blue Cross Medicare Advantage Access (PPO)H1666-0215YesNoYes
Blue Cross Medicare Advantage Balance (PPO)H1666-0195YesNoYes
Blue Cross Medicare Advantage Balance (PPO)H1666-0235YesNoYes
Blue Cross Medicare Advantage Choice Plus (PPO)H1666-0065YesNoYes
Blue Cross Medicare Advantage Choice Plus (PPO)H1666-0085YesNoYes
Blue Cross Medicare Advantage Choice Premier (PPO)H1666-0035YesNoYes
Blue Cross Medicare Advantage Choice Premier (PPO)H1666-0125YesNoYes
Blue Cross Medicare Advantage Dental Premier (PPO)H1666-0165YesNoYes
Blue Cross Medicare Advantage Dental Value (HMO)H9706-0075YesNoYes
Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)H9706-0021YesNoYes
Blue Cross Medicare Advantage Health Choice (PPO)H1666-0145YesNoYes
Blue Cross Medicare Advantage Optimum (PPO)H1666-0205YesNoYes
Blue Cross Medicare Advantage Optimum (PPO)H1666-0225YesNoYes
Blue Cross Medicare Advantage Optimum (PPO)H1666-0245YesNoYes
Blue Cross Medicare Advantage Saver (HMO)H9706-0085YesNoYes
Blue Cross Medicare Advantage Secure (HMO)H9706-0055YesNoYes
Blue Cross Medicare Advantage Value (HMO)H9706-0015YesNoYes
Blue Cross Medicare Advantage Value (HMO)H9706-0095YesNoYes
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.

Piqray 300 MG Daily Dose at other payers

Or see Piqray 300 MG Daily Dose 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.