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Varies by plan

Does Kaiser Permanente require prior authorization for Ingrezza?

Prior authorization for Ingrezza differs across Kaiser Permanente's Medicare Part D plans and product strengths — 4 of 7 Ingrezza products in the corpus appear on their formularies, and the requirement is not uniform. Check the member's specific plan.

Some plans require authorization and others do not. The member's specific plan decides.

  • Prior authorization requirements differ across this payer's plans: 16 of 115 covering plans require it. Check the specific plan the member is enrolled in — the plan name and contract number are on their insurance card.

By product strength

RxNorm productPlans coveringRequire prior authStatus
valbenazine 40 MG Oral Capsule [Ingrezza]1918230115 / 11516Varies by plan
valbenazine 80 MG Oral Capsule [Ingrezza]1986331115 / 11516Varies by plan
{7 (valbenazine 40 MG Oral Capsule [Ingrezza]) / 21 (valbenazine 80 MG Oral Capsule [Ingrezza]) } Pack [Ingrezza]2054269115 / 11516Varies by plan
valbenazine 60 MG Oral Capsule [Ingrezza]2541513115 / 11516Varies by plan
Sprinkle valbenazine 40 MG Oral Capsule [Ingrezza]26807800 / 1150Not on formulary
Sprinkle valbenazine 60 MG Oral Capsule [Ingrezza]26807820 / 1150Not on formulary
Sprinkle valbenazine 80 MG Oral Capsule [Ingrezza]26807840 / 1150Not on formulary

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

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.

Ingrezza at other payers

Or see Ingrezza 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.