Does Mcs Advantage, INC. require prior authorization for Wixela?
Mcs Advantage, INC. does not require prior authorization for Wixela 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 |
|---|---|---|---|---|---|
| 60 ACTUAT fluticasone propionate 0.1 MG/ACTUAT / salmeterol 0.05 MG/ACTUAT Dry Powder Inhaler [Wixela]2110510 | 20 / 20 | 0 | 0 | 20 | No prior authorization |
| 60 ACTUAT fluticasone propionate 0.25 MG/ACTUAT / salmeterol 0.05 MG/ACTUAT Dry Powder Inhaler [Wixela]2110513 | 20 / 20 | 0 | 0 | 20 | No prior authorization |
| 60 ACTUAT fluticasone propionate 0.5 MG/ACTUAT / salmeterol 0.05 MG/ACTUAT Dry Powder Inhaler [Wixela]2110516 | 20 / 20 | 0 | 0 | 20 | No prior authorization |
Product names come from RxNorm (U.S. National Library of Medicine).
Plan-by-plan detail — 60 ACTUAT fluticasone propionate 0.1 MG/ACTUAT / salmeterol 0.05 MG/ACTUAT Dry Powder Inhaler [Wixela]
Wixela has 3 products in the corpus; this table is for 60 ACTUAT fluticasone propionate 0.1 MG/ACTUAT / salmeterol 0.05 MG/ACTUAT Dry Powder Inhaler [Wixela], the one carried on the most plans. The product table above covers every strength.
| Plan | Contract | Tier | Prior auth | Step therapy | Qty limit |
|---|---|---|---|---|---|
| MCS Classicare Efectivo (HMO) | H5577-005 | 2 | No | No | Yes |
| MCS Classicare En Tu Hogar (HMO) | H5577-043 | 2 | No | No | Yes |
| MCS Classicare Essential (HMO-POS) | H5577-008 | 2 | No | No | Yes |
| MCS Classicare Estrella (HMO) | H5577-060 | 2 | No | No | Yes |
| MCS Classicare Excede (HMO) | H5577-056 | 2 | No | No | Yes |
| MCS Classicare Excede (HMO) | H5577-056 | 2 | No | No | Yes |
| MCS Classicare Excede (HMO) | H5577-056 | 2 | No | No | Yes |
| MCS Classicare Firme (HMO) | H5577-042 | 2 | No | No | Yes |
| MCS Classicare Hero (HMO) | H5577-044 | 2 | No | No | Yes |
| MCS Classicare InteliCare (HMO) | H5577-052 | 2 | No | No | Yes |
| MCS Classicare Platino 185 (HMO D-SNP) | H5577-062 | 2 | No | No | Yes |
| MCS Classicare Platino Ideal (HMO D-SNP) | H5577-002 | 2 | No | No | Yes |
| MCS Classicare Platino Maximo (HMO D-SNP) | H5577-054 | 2 | No | No | Yes |
| MCS Classicare Platino Maximo (HMO D-SNP) | H5577-054 | 2 | No | No | Yes |
| MCS Classicare Platino Maximo (HMO D-SNP) | H5577-054 | 2 | No | No | Yes |
| MCS Classicare Platino Progreso (HMO D-SNP) | H5577-017 | 2 | No | No | Yes |
| MCS Classicare Platino Superior (HMO D-SNP) | H5577-061 | 2 | No | No | Yes |
| MCS Classicare Platino Total (HMO D-SNP) | H5577-046 | 2 | No | No | Yes |
| MCS Classicare Primero (HMO C-SNP) | H5577-038 | 2 | No | No | Yes |
| MCS Classicare RxMax (HMO) | H5577-059 | 2 | No | No | Yes |
- Effective
- 2026-06-30
- Retrieved
- 2026-07-19
- SHA-256
- e626e6bcda1aa6a0071e6f0df6bafe686ae41842cdf0a9feffdc649b6d3ff3ae
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Wixela 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.