Benefily
No prior authorization

Does Hcsc Insurance Services Company require prior authorization for YF-Vax?

Hcsc Insurance Services Company does not require prior authorization for YF-Vax 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
yellow fever virus strain 17D-204 live antigen 4000 UNT/ML Injectable Suspension [YF-Vax]129282818 / 18000No prior authorization
0.5 ML yellow fever virus strain 17D-204 live antigen 4000 UNT/ML Injection [YF-Vax]165824118 / 18000No prior authorization

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

Plan-by-plan detail — yellow fever virus strain 17D-204 live antigen 4000 UNT/ML Injectable Suspension [YF-Vax]

YF-Vax has 2 products in the corpus; this table is for yellow fever virus strain 17D-204 live antigen 4000 UNT/ML Injectable Suspension [YF-Vax], the one carried on the most plans. The product table above covers every strength.

PlanContractTierPrior authStep therapyQty limit
Blue Cross Medicare Advantage Access (PPO)H1666-0211NoNoNo
Blue Cross Medicare Advantage Balance (PPO)H1666-0191NoNoNo
Blue Cross Medicare Advantage Balance (PPO)H1666-0231NoNoNo
Blue Cross Medicare Advantage Choice Plus (PPO)H1666-0061NoNoNo
Blue Cross Medicare Advantage Choice Plus (PPO)H1666-0081NoNoNo
Blue Cross Medicare Advantage Choice Premier (PPO)H1666-0031NoNoNo
Blue Cross Medicare Advantage Choice Premier (PPO)H1666-0121NoNoNo
Blue Cross Medicare Advantage Dental Premier (PPO)H1666-0161NoNoNo
Blue Cross Medicare Advantage Dental Value (HMO)H9706-0071NoNoNo
Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)H9706-0021NoNoNo
Blue Cross Medicare Advantage Health Choice (PPO)H1666-0141NoNoNo
Blue Cross Medicare Advantage Optimum (PPO)H1666-0201NoNoNo
Blue Cross Medicare Advantage Optimum (PPO)H1666-0221NoNoNo
Blue Cross Medicare Advantage Optimum (PPO)H1666-0241NoNoNo
Blue Cross Medicare Advantage Saver (HMO)H9706-0081NoNoNo
Blue Cross Medicare Advantage Secure (HMO)H9706-0051NoNoNo
Blue Cross Medicare Advantage Value (HMO)H9706-0011NoNoNo
Blue Cross Medicare Advantage Value (HMO)H9706-0091NoNoNo
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.

YF-Vax at other payers

Or see YF-Vax 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.