Does Hopkins Health Advantage, INC. require prior authorization for Tenivac?
Hopkins Health Advantage, INC. requires prior authorization for Tenivac 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 | Step therapy | Qty limit | Status |
|---|---|---|---|---|---|
| 0.5 ML diphtheria toxoid vaccine, inactivated 4 UNT/ML / tetanus toxoid vaccine, inactivated 10 UNT/ML Injection [Tenivac]1190916 | 5 / 5 | 5 | 0 | 0 | Prior authorization required |
| 0.5 ML diphtheria toxoid vaccine, inactivated 4 UNT/ML / tetanus toxoid vaccine, inactivated 10 UNT/ML Prefilled Syringe [Tenivac]1190919 | 5 / 5 | 5 | 0 | 0 | Prior authorization required |
Product names come from RxNorm (U.S. National Library of Medicine).
Plan-by-plan detail — 0.5 ML diphtheria toxoid vaccine, inactivated 4 UNT/ML / tetanus toxoid vaccine, inactivated 10 UNT/ML Injection [Tenivac]
Tenivac has 2 products in the corpus; this table is for 0.5 ML diphtheria toxoid vaccine, inactivated 4 UNT/ML / tetanus toxoid vaccine, inactivated 10 UNT/ML Injection [Tenivac], the one carried on the most plans. The product table above covers every strength.
| Plan | Contract | Tier | Prior auth | Step therapy | Qty limit |
|---|---|---|---|---|---|
| Johns Hopkins Advantage MD (HMO) | H1225-001 | 1 | Yes | No | No |
| Johns Hopkins Advantage MD (PPO) | H3890-001 | 1 | Yes | No | No |
| Johns Hopkins Advantage MD D-SNP (HMO D-SNP) | H1225-003 | 1 | Yes | No | No |
| Johns Hopkins Advantage MD Plus (PPO) | H3890-002 | 1 | Yes | No | No |
| Johns Hopkins Advantage MD Primary (PPO) | H3890-005 | 1 | Yes | No | No |
- Effective
- 2026-06-30
- Retrieved
- 2026-07-19
- SHA-256
- e626e6bcda1aa6a0071e6f0df6bafe686ae41842cdf0a9feffdc649b6d3ff3ae
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Tenivac 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.