Benefily
No prior authorization

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

Medco Containment Life And Medco Containment Ny does not require prior authorization for Cobenfy on the Medicare Part D plans that cover it.

No covering plan from this payer files a prior-authorization requirement for this drug.

  • No prior authorization is filed, but step therapy applies on 60 of 60 covering plans — the plan requires another drug be tried first.

By product strength

RxNorm productPlans coveringRequire prior authStep therapyQty limitStatus
trospium chloride 20 MG / xanomeline 50 MG Oral Capsule [Cobenfy]269485060 / 6006060No prior authorization
trospium chloride 30 MG / xanomeline 125 MG Oral Capsule [Cobenfy]269485560 / 6006060No prior authorization
trospium chloride 20 MG / xanomeline 100 MG Oral Capsule [Cobenfy]269499160 / 6006060No prior authorization

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

Plan-by-plan detail — trospium chloride 20 MG / xanomeline 50 MG Oral Capsule [Cobenfy]

Cobenfy has 3 products in the corpus; this table is for trospium chloride 20 MG / xanomeline 50 MG Oral Capsule [Cobenfy], the one carried on the most plans. The product table above covers every strength.

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

Cobenfy at other payers

Or see Cobenfy 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.