Does Health Care Service Corporation require prior authorization for Viracept?
Health Care Service Corporation does not require prior authorization for Viracept 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 product | Plans covering | Require prior auth | Step therapy | Qty limit | Status |
|---|---|---|---|---|---|
| nelfinavir 250 MG Oral Tablet [Viracept]212118 | 31 / 31 | 0 | 0 | 31 | No prior authorization |
| nelfinavir 625 MG Oral Tablet [Viracept]542370 | 31 / 31 | 0 | 0 | 31 | No prior authorization |
Product names come from RxNorm (U.S. National Library of Medicine).
Plan-by-plan detail — nelfinavir 250 MG Oral Tablet [Viracept]
Viracept has 2 products in the corpus; this table is for nelfinavir 250 MG Oral Tablet [Viracept], 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 MA Dual Care Plus Preferred (PPO D-SNP) | H8634-009 | 1 | No | No | Yes |
| Blue Cross Medicare Advantage Balance (PPO) | H8634-031 | 5 | No | No | Yes |
| Blue Cross Medicare Advantage Basic (HMO) | H3822-001 | 5 | No | No | Yes |
| Blue Cross Medicare Advantage Basic (HMO) | H3822-002 | 5 | No | No | Yes |
| Blue Cross Medicare Advantage Basic (HMO) | H3822-012 | 5 | No | No | Yes |
| Blue Cross Medicare Advantage Basic Plus (HMO-POS) | H3822-007 | 5 | No | No | Yes |
| Blue Cross Medicare Advantage Choice Plus (PPO) | H0107-005 | 5 | No | No | Yes |
| Blue Cross Medicare Advantage Choice Plus (PPO) | H8634-003 | 5 | No | No | Yes |
| Blue Cross Medicare Advantage Choice Premier (PPO) | H8634-004 | 5 | No | No | Yes |
| Blue Cross Medicare Advantage Classic (PPO) | H0107-003 | 5 | No | No | Yes |
| Blue Cross Medicare Advantage Classic (PPO) | H8634-008 | 5 | No | No | Yes |
| Blue Cross Medicare Advantage Classic (PPO) | H8634-010 | 5 | No | No | Yes |
| Blue Cross Medicare Advantage Classic (PPO) | H8634-022 | 5 | No | No | Yes |
| Blue Cross Medicare Advantage Classic (PPO) | H8634-027 | 5 | No | No | Yes |
| Blue Cross Medicare Advantage Complete (PPO) | H8634-023 | 5 | No | No | Yes |
| Blue Cross Medicare Advantage Dental Premier (PPO) | H0107-007 | 5 | No | No | Yes |
| Blue Cross Medicare Advantage Dental Premier (PPO) | H8634-021 | 5 | No | No | Yes |
| Blue Cross Medicare Advantage Dental Premier (PPO) | H8634-024 | 5 | No | No | Yes |
| Blue Cross Medicare Advantage Dental Premier (PPO) | H8634-029 | 5 | No | No | Yes |
| Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP) | H3251-029 | 1 | No | No | Yes |
| Blue Cross Medicare Advantage Essential (PPO) | H8634-012 | 5 | No | No | Yes |
| Blue Cross Medicare Advantage Health Choice (PPO) | H0107-010 | 5 | No | No | Yes |
| Blue Cross Medicare Advantage Health Choice (PPO) | H8634-018 | 5 | No | No | Yes |
| Blue Cross Medicare Advantage Health Choice (PPO) | H8634-025 | 5 | No | No | Yes |
| Blue Cross Medicare Advantage Health Choice (PPO) | H8634-030 | 5 | No | No | Yes |
| Blue Cross Medicare Advantage Optimum (PPO) | H0107-004 | 5 | No | No | Yes |
| Blue Cross Medicare Advantage Optimum (PPO) | H8634-032 | 5 | No | No | Yes |
| Blue Cross Medicare Advantage Preferred (PPO) | H8634-033 | 5 | No | No | Yes |
| Blue Cross Medicare Advantage Premier Plus (HMO-POS) | H3822-008 | 5 | No | No | Yes |
| Blue Cross Medicare Advantage Select (HMO) | H3251-002 | 5 | No | No | Yes |
| Blue Cross Medicare Advantage Value (HMO) | H3822-014 | 5 | No | No | Yes |
- Effective
- 2026-06-30
- Retrieved
- 2026-07-19
- SHA-256
- e626e6bcda1aa6a0071e6f0df6bafe686ae41842cdf0a9feffdc649b6d3ff3ae
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Viracept at other payers
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.