Benefily
No prior authorization

Does Mcs Advantage, INC. require prior authorization for Lysodren?

Mcs Advantage, INC. does not require prior authorization for Lysodren 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
mitotane 500 MG Oral Tablet [Lysodren]20737320 / 20000No prior authorization

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

Plan-by-plan detail — mitotane 500 MG Oral Tablet [Lysodren]

PlanContractTierPrior authStep therapyQty limit
MCS Classicare Efectivo (HMO)H5577-0055NoNoNo
MCS Classicare En Tu Hogar (HMO)H5577-0435NoNoNo
MCS Classicare Essential (HMO-POS)H5577-0085NoNoNo
MCS Classicare Estrella (HMO)H5577-0605NoNoNo
MCS Classicare Excede (HMO)H5577-0565NoNoNo
MCS Classicare Excede (HMO)H5577-0565NoNoNo
MCS Classicare Excede (HMO)H5577-0565NoNoNo
MCS Classicare Firme (HMO)H5577-0425NoNoNo
MCS Classicare Hero (HMO)H5577-0445NoNoNo
MCS Classicare InteliCare (HMO)H5577-0525NoNoNo
MCS Classicare Platino 185 (HMO D-SNP)H5577-0625NoNoNo
MCS Classicare Platino Ideal (HMO D-SNP)H5577-0025NoNoNo
MCS Classicare Platino Maximo (HMO D-SNP)H5577-0545NoNoNo
MCS Classicare Platino Maximo (HMO D-SNP)H5577-0545NoNoNo
MCS Classicare Platino Maximo (HMO D-SNP)H5577-0545NoNoNo
MCS Classicare Platino Progreso (HMO D-SNP)H5577-0175NoNoNo
MCS Classicare Platino Superior (HMO D-SNP)H5577-0615NoNoNo
MCS Classicare Platino Total (HMO D-SNP)H5577-0465NoNoNo
MCS Classicare Primero (HMO C-SNP)H5577-0385NoNoNo
MCS Classicare RxMax (HMO)H5577-0595NoNoNo
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.

Lysodren at other payers

Or see Lysodren 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.