Benefily
Prior authorization required

Does Medco Containment Life And Medco Containment Ny require prior authorization for Piqray 300 MG Daily Dose?

Medco Containment Life And Medco Containment Ny requires prior authorization for Piqray 300 MG Daily Dose on every Medicare Part D plan of theirs that covers it.

Every plan from this payer that covers the drug requires authorization before it is dispensed.

By product strength

RxNorm productPlans coveringRequire prior authStep therapyQty limitStatus
{56 (alpelisib 150 MG Oral Tablet [Piqray]) } Pack [Piqray 300 MG Daily Dose]216932260 / 606000Prior authorization required

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

Plan-by-plan detail — {56 (alpelisib 150 MG Oral Tablet [Piqray]) } Pack [Piqray 300 MG Daily Dose]

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

Piqray 300 MG Daily Dose at other payers

Or see Piqray 300 MG Daily Dose 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.