Benefily
No prior authorization

Does Medco Containment Life And Medco Containment Ny require prior authorization for Biktarvy?

Medco Containment Life And Medco Containment Ny does not require prior authorization for Biktarvy 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
bictegravir 50 MG / emtricitabine 200 MG / tenofovir alafenamide 25 MG Oral Tablet [Biktarvy]199967360 / 60000No prior authorization
bictegravir 30 MG / emtricitabine 120 MG / tenofovir alafenamide 15 MG Oral Tablet [Biktarvy]258435660 / 60000No prior authorization

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

Plan-by-plan detail — bictegravir 50 MG / emtricitabine 200 MG / tenofovir alafenamide 25 MG Oral Tablet [Biktarvy]

Biktarvy has 2 products in the corpus; this table is for bictegravir 50 MG / emtricitabine 200 MG / tenofovir alafenamide 25 MG Oral Tablet [Biktarvy], the one carried on the most plans. The product table above covers every strength.

PlanContractTierPrior authStep therapyQty limit
HealthSpring Assurance Rx (PDP)S5617-0035NoNoNo
HealthSpring Assurance Rx (PDP)S5617-0085NoNoNo
HealthSpring Assurance Rx (PDP)S5617-0135NoNoNo
HealthSpring Assurance Rx (PDP)S5617-0185NoNoNo
HealthSpring Assurance Rx (PDP)S5617-0685NoNoNo
HealthSpring Assurance Rx (PDP)S5617-0885NoNoNo
HealthSpring Assurance Rx (PDP)S5617-1035NoNoNo
HealthSpring Assurance Rx (PDP)S5617-1085NoNoNo
HealthSpring Assurance Rx (PDP)S5617-1135NoNoNo
HealthSpring Assurance Rx (PDP)S5617-1185NoNoNo
HealthSpring Assurance Rx (PDP)S5617-1235NoNoNo
HealthSpring Assurance Rx (PDP)S5617-1285NoNoNo
HealthSpring Assurance Rx (PDP)S5617-1335NoNoNo
HealthSpring Assurance Rx (PDP)S5617-1385NoNoNo
HealthSpring Assurance Rx (PDP)S5617-1435NoNoNo
HealthSpring Assurance Rx (PDP)S5617-1485NoNoNo
HealthSpring Assurance Rx (PDP)S5617-1535NoNoNo
HealthSpring Assurance Rx (PDP)S5617-1585NoNoNo
HealthSpring Assurance Rx (PDP)S5617-2145NoNoNo
HealthSpring Assurance Rx (PDP)S5617-2155NoNoNo
HealthSpring Assurance Rx (PDP)S5617-2165NoNoNo
HealthSpring Assurance Rx (PDP)S5617-2175NoNoNo
HealthSpring Assurance Rx (PDP)S5617-2185NoNoNo
HealthSpring Assurance Rx (PDP)S5617-2195NoNoNo
HealthSpring Assurance Rx (PDP)S5617-2205NoNoNo
HealthSpring Assurance Rx (PDP)S5617-2215NoNoNo
HealthSpring Assurance Rx (PDP)S5617-2225NoNoNo
HealthSpring Assurance Rx (PDP)S5617-2235NoNoNo
HealthSpring Assurance Rx (PDP)S5617-2245NoNoNo
HealthSpring Assurance Rx (PDP)S5617-2255NoNoNo
HealthSpring Assurance Rx (PDP)S5617-2265NoNoNo
HealthSpring Assurance Rx (PDP)S5617-2275NoNoNo
HealthSpring Assurance Rx (PDP)S5617-3485NoNoNo
HealthSpring Extra Rx (PDP)S5617-3535NoNoNo
HealthSpring Extra Rx (PDP)S5617-3545NoNoNo
HealthSpring Extra Rx (PDP)S5617-3555NoNoNo
HealthSpring Extra Rx (PDP)S5617-3565NoNoNo
HealthSpring Extra Rx (PDP)S5617-3585NoNoNo
HealthSpring Extra Rx (PDP)S5617-3595NoNoNo
HealthSpring Extra Rx (PDP)S5617-3605NoNoNo
HealthSpring Extra Rx (PDP)S5617-3625NoNoNo
HealthSpring Extra Rx (PDP)S5617-3635NoNoNo
HealthSpring Extra Rx (PDP)S5617-3645NoNoNo
HealthSpring Extra Rx (PDP)S5617-3655NoNoNo
HealthSpring Extra Rx (PDP)S5617-3665NoNoNo
HealthSpring Extra Rx (PDP)S5617-3675NoNoNo
HealthSpring Extra Rx (PDP)S5617-3685NoNoNo
HealthSpring Extra Rx (PDP)S5617-3695NoNoNo
HealthSpring Extra Rx (PDP)S5617-3705NoNoNo
HealthSpring Extra Rx (PDP)S5617-3715NoNoNo
HealthSpring Extra Rx (PDP)S5617-3725NoNoNo
HealthSpring Extra Rx (PDP)S5617-3735NoNoNo
HealthSpring Extra Rx (PDP)S5617-3755NoNoNo
HealthSpring Extra Rx (PDP)S5617-3775NoNoNo
HealthSpring Extra Rx (PDP)S5617-3785NoNoNo
HealthSpring Extra Rx (PDP)S5617-3795NoNoNo
HealthSpring Extra Rx (PDP)S5617-3805NoNoNo
HealthSpring Extra Rx (PDP)S5617-3815NoNoNo
HealthSpring Extra Rx (PDP)S5617-3825NoNoNo
HealthSpring Extra Rx (PDP)S5617-3855NoNoNo
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.

Biktarvy at other payers

Or see Biktarvy 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.