No prior authorization
Does Kaiser Permanente require prior authorization for YF-Vax?
Kaiser Permanente 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 product | Plans covering | Require prior auth | Step therapy | Qty limit | Status |
|---|---|---|---|---|---|
| yellow fever virus strain 17D-204 live antigen 4000 UNT/ML Injectable Suspension [YF-Vax]1292828 | 115 / 115 | 0 | 0 | 0 | No prior authorization |
| 0.5 ML yellow fever virus strain 17D-204 live antigen 4000 UNT/ML Injection [YF-Vax]1658241 | 115 / 115 | 0 | 0 | 0 | No 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.
| Plan | Contract | Tier | Prior auth | Step therapy | Qty limit |
|---|---|---|---|---|---|
| Kaiser Permanente Dual Complete (HMO D-SNP) | H0630-027 | 6 | No | No | No |
| Kaiser Permanente Dual Complete (HMO D-SNP) | H1170-015 | 6 | No | No | No |
| Kaiser Permanente Dual Complete Maui (HMO D-SNP) | H2704-016 | 6 | No | No | No |
| Kaiser Permanente Dual Complete North P16 (HMO D-SNP) | H8794-016 | 6 | No | No | No |
| Kaiser Permanente Dual Complete North P17 (HMO D-SNP) | H8794-017 | 6 | No | No | No |
| Kaiser Permanente Dual Complete North P18 (HMO D-SNP) | H8794-018 | 6 | No | No | No |
| Kaiser Permanente Dual Complete North P19 (HMO D-SNP) | H8794-019 | 6 | No | No | No |
| Kaiser Permanente Dual Complete North P2 (HMO D-SNP) | H8794-002 | 6 | No | No | No |
| Kaiser Permanente Dual Complete North P20 (HMO D-SNP) | H8794-020 | 6 | No | No | No |
| Kaiser Permanente Dual Complete North P21 (HMO D-SNP) | H8794-021 | 6 | No | No | No |
| Kaiser Permanente Dual Complete North P22 (HMO D-SNP) | H8794-022 | 6 | No | No | No |
| Kaiser Permanente Dual Complete North P23 (HMO D-SNP) | H8794-023 | 6 | No | No | No |
| Kaiser Permanente Dual Complete North P24 (HMO D-SNP) | H8794-024 | 6 | No | No | No |
| Kaiser Permanente Dual Complete North P25 (HMO D-SNP) | H8794-025 | 6 | No | No | No |
| Kaiser Permanente Dual Complete Oahu (HMO D-SNP) | H2704-015 | 6 | No | No | No |
| Kaiser Permanente Dual Complete Plan 1 MD (HMO D-SNP) | H2172-016 | 6 | No | No | No |
| Kaiser Permanente Dual Complete Plan 2 MD (HMO D-SNP) | H2172-017 | 6 | No | No | No |
| Kaiser Permanente Dual Complete Pueblo (HMO D-SNP) | H0630-024 | 6 | No | No | No |
| Kaiser Permanente Dual Complete South P1 (HMO D-SNP) | H8794-001 | 6 | No | No | No |
| Kaiser Permanente Dual Complete South P10 (HMO D-SNP) | H8794-010 | 6 | No | No | No |
| Kaiser Permanente Dual Complete South P11 (HMO D-SNP) | H8794-011 | 6 | No | No | No |
| Kaiser Permanente Dual Complete South P6 (HMO D-SNP) | H8794-006 | 6 | No | No | No |
| Kaiser Permanente Dual Complete South P7 (HMO D-SNP) | H8794-007 | 6 | No | No | No |
| Kaiser Permanente Dual Complete South P9 (HMO D-SNP) | H8794-009 | 6 | No | No | No |
| Kaiser Permanente Dual Essential (HMO D-SNP) | H0630-014 | 6 | No | No | No |
| Kaiser Permanente Dual Essential Plan 1 (HMO D-SNP) | H1170-008 | 6 | No | No | No |
| Kaiser Permanente Dual Essential Plan 1 MD (HMO D-SNP) | H2172-018 | 6 | No | No | No |
| Kaiser Permanente Dual Essential Plan 2 (HMO D-SNP) | H1170-011 | 6 | No | No | No |
| Kaiser Permanente Dual Essential Plan 2 MD (HMO D-SNP) | H2172-019 | 6 | No | No | No |
| Kaiser Permanente Medicare Advantage Anchor (HMO) | H5050-023 | 6 | No | No | No |
| Kaiser Permanente Medicare Advantage Care Plus MD (HMO-POS) | H2172-014 | 6 | No | No | No |
| Kaiser Permanente Medicare Advantage Care Plus VA (HMO-POS) | H2172-013 | 6 | No | No | No |
| Kaiser Permanente Medicare Advantage Centennial (HMO) | H5050-021 | 6 | No | No | No |
| Kaiser Permanente Medicare Advantage Columbia (HMO) | H5050-019 | 6 | No | No | No |
| Kaiser Permanente Medicare Advantage Essential (HMO) | H5050-009 | 6 | No | No | No |
| Kaiser Permanente Medicare Advantage Essential Kng (HMO) | H5050-024 | 6 | No | No | No |
| Kaiser Permanente Medicare Advantage Essential Pce (HMO) | H5050-025 | 6 | No | No | No |
| Kaiser Permanente Medicare Advantage Essential Sno (HMO) | H5050-026 | 6 | No | No | No |
| Kaiser Permanente Medicare Advantage Essential Thu (HMO) | H5050-027 | 6 | No | No | No |
| Kaiser Permanente Medicare Advantage Harbor (HMO) | H5050-017 | 6 | No | No | No |
| Kaiser Permanente Medicare Advantage High DC (HMO-POS) | H2172-001 | 6 | No | No | No |
| Kaiser Permanente Medicare Advantage High MD (HMO-POS) | H2172-002 | 6 | No | No | No |
| Kaiser Permanente Medicare Advantage High VA (HMO-POS) | H2172-008 | 6 | No | No | No |
| Kaiser Permanente Medicare Advantage Key (HMO) | H5050-022 | 6 | No | No | No |
| Kaiser Permanente Medicare Advantage Key King (HMO) | H5050-028 | 6 | No | No | No |
| Kaiser Permanente Medicare Advantage Key Pierce (HMO) | H5050-029 | 6 | No | No | No |
| Kaiser Permanente Medicare Advantage Key Snohomish (HMO) | H5050-030 | 6 | No | No | No |
| Kaiser Permanente Medicare Advantage Key Thurston (HMO) | H5050-031 | 6 | No | No | No |
| Kaiser Permanente Medicare Advantage Optimal (HMO) | H5050-004 | 6 | No | No | No |
| Kaiser Permanente Medicare Advantage Standard 1 MD (HMO-POS) | H2172-021 | 6 | No | No | No |
| Kaiser Permanente Medicare Advantage Standard 1 VA (HMO-POS) | H2172-009 | 6 | No | No | No |
| Kaiser Permanente Medicare Advantage Standard 2 MD (HMO-POS) | H2172-022 | 6 | No | No | No |
| Kaiser Permanente Medicare Advantage Standard 2 VA (HMO-POS) | H2172-023 | 6 | No | No | No |
| Kaiser Permanente Medicare Advantage Standard DC (HMO-POS) | H2172-020 | 6 | No | No | No |
| Kaiser Permanente Medicare Advantage Value 1 MD (HMO) | H2172-025 | 6 | No | No | No |
| Kaiser Permanente Medicare Advantage Value 1 VA (HMO-POS) | H2172-010 | 6 | No | No | No |
| Kaiser Permanente Medicare Advantage Value 2 MD (HMO) | H2172-026 | 6 | No | No | No |
| Kaiser Permanente Medicare Advantage Value 2 VA (HMO-POS) | H2172-024 | 6 | No | No | No |
| Kaiser Permanente Medicare Advantage Value DC (HMO-POS) | H2172-027 | 6 | No | No | No |
| Kaiser Permanente Medicare Advantage Vital Sound (HMO) | H5050-032 | 6 | No | No | No |
| Kaiser Permanente Senior Advantage Alam., SF, Napa (HMO) | H0524-032 | 6 | No | No | No |
| Kaiser Permanente Senior Advantage Basic (HMO) | H1230-003 | 6 | No | No | No |
| Kaiser Permanente Senior Advantage Basic 1 (HMO) | H1170-009 | 6 | No | No | No |
| Kaiser Permanente Senior Advantage Basic 2 (HMO) | H1170-012 | 6 | No | No | No |
| Kaiser Permanente Senior Advantage Basic Alameda (HMO) | H0524-059 | 6 | No | No | No |
| Kaiser Permanente Senior Advantage Basic Fresno (HMO) | H0524-046 | 6 | No | No | No |
| Kaiser Permanente Senior Advantage Basic Kern (HMO) | H0524-036 | 6 | No | No | No |
| Kaiser Permanente Senior Advantage Basic Marin (HMO) | H0524-064 | 6 | No | No | No |
| Kaiser Permanente Senior Advantage Basic San Mateo (HMO) | H0524-065 | 6 | No | No | No |
| Kaiser Permanente Senior Advantage Basic SF (HMO) | H0524-060 | 6 | No | No | No |
| Kaiser Permanente Senior Advantage Basic SnJoaq (HMO) | H0524-043 | 6 | No | No | No |
| Kaiser Permanente Senior Advantage Basic Solano (HMO) | H0524-063 | 6 | No | No | No |
| Kaiser Permanente Senior Advantage Basic Stanis (HMO) | H0524-041 | 6 | No | No | No |
| Kaiser Permanente Senior Advantage Bronze DM (HMO-POS) | H0630-025 | 6 | No | No | No |
| Kaiser Permanente Senior Advantage Care Plus (HMO-POS) | H1170-013 | 6 | No | No | No |
| Kaiser Permanente Senior Advantage Choice DM (PPO) | H3138-001 | 6 | No | No | No |
| Kaiser Permanente Senior Advantage Choice North (PPO) | H3138-003 | 6 | No | No | No |
| Kaiser Permanente Senior Advantage Choice South (PPO) | H3138-002 | 6 | No | No | No |
| Kaiser Permanente Senior Advantage Core DM (HMO) | H0630-013 | 6 | No | No | No |
| Kaiser Permanente Senior Advantage Core North (HMO) | H0630-020 | 6 | No | No | No |
| Kaiser Permanente Senior Advantage Core South (HMO) | H0630-017 | 6 | No | No | No |
| Kaiser Permanente Senior Advantage Enhanced (HMO-POS) | H0630-023 | 6 | No | No | No |
| Kaiser Permanente Senior Advantage Enhanced (HMO-POS) | H9003-001 | 6 | No | No | No |
| Kaiser Permanente Senior Advantage Enhanced (HMO) | H1230-001 | 6 | No | No | No |
| Kaiser Permanente Senior Advantage Enhanced 1 (HMO) | H1170-002 | 6 | No | No | No |
| Kaiser Permanente Senior Advantage Enhanced Fresno (HMO) | H0524-038 | 6 | No | No | No |
| Kaiser Permanente Senior Advantage Enhanced Kern (HMO) | H0524-035 | 6 | No | No | No |
| Kaiser Permanente Senior Advantage Enhanced SnJoaq (HMO) | H0524-042 | 6 | No | No | No |
| Kaiser Permanente Senior Advantage Enhanced Solano (HMO) | H0524-008 | 6 | No | No | No |
| Kaiser Permanente Senior Advantage Enhanced Stanis (HMO) | H0524-040 | 6 | No | No | No |
| Kaiser Permanente Senior Advantage Gold (HMO-POS) | H0630-016 | 6 | No | No | No |
| Kaiser Permanente Senior Advantage Hawaii Island (HMO) | H1230-014 | 6 | No | No | No |
| Kaiser Permanente Senior Advantage Inland Empire (HMO) | H0524-015 | 6 | No | No | No |
| Kaiser Permanente Senior Advantage LA, Orange Co. (HMO) | H0524-003 | 6 | No | No | No |
| Kaiser Permanente Senior Advantage Maui (HMO) | H1230-013 | 6 | No | No | No |
| Kaiser Permanente Senior Advantage San Diego (HMO) | H0524-037 | 6 | No | No | No |
| Kaiser Permanente Senior Advantage San Diego Value (HMO) | H0524-082 | 6 | No | No | No |
| Kaiser Permanente Senior Advantage Santa Cruz (HMO) | H0524-054 | 6 | No | No | No |
| Kaiser Permanente Senior Advantage Silver DM (HMO-POS) | H0630-015 | 6 | No | No | No |
| Kaiser Permanente Senior Advantage Silver North (HMO-POS) | H0630-021 | 6 | No | No | No |
Showing 100 of 115 covering plans.
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
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.