Benefily
No prior authorization

Does Medica Health Plans require prior authorization for Descovy?

Medica Health Plans does not require prior authorization for Descovy 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
emtricitabine 200 MG / tenofovir alafenamide 25 MG Oral Tablet [Descovy]174769717 / 17000No prior authorization
emtricitabine 120 MG / tenofovir alafenamide 15 MG Oral Tablet [Descovy]259064317 / 17000No prior authorization

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

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

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

PlanContractTierPrior authStep therapyQty limit
Medica Advantage Dual (PPO D-SNP)H8889-0165NoNoNo
Medica Advantage Preferred (PPO)H8889-0115NoNoNo
Medica Advantage Preferred (PPO)H8889-0135NoNoNo
Medica Advantage Select (PPO)H8889-0125NoNoNo
Medica Advantage Select (PPO)H8889-0155NoNoNo
Medica Advantage Select (PPO)H8889-0185NoNoNo
Medica Advantage Solution H6154-001 (HMO-POS)H6154-0015NoNoNo
Medica Advantage Solution H8889-001 (PPO)H8889-0015NoNoNo
Medica Advantage Solution H8889-002 (PPO)H8889-0025NoNoNo
Medica Advantage Solution H8889-003 (PPO)H8889-0035NoNoNo
Medica Advantage Solution H8889-004 (PPO)H8889-0045NoNoNo
Medica Advantage Solution H8889-005 (PPO)H8889-0055NoNoNo
Medica Advantage Solution H8889-008 (PPO)H8889-0085NoNoNo
Medica Advantage Value (PPO)H8889-0105NoNoNo
Medica Advantage Value (PPO)H8889-0145NoNoNo
Medica Advantage Value (PPO)H8889-0175NoNoNo
Medica DUAL Solution (HMO D-SNP)H2458-0025NoNoNo
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.

Descovy at other payers

Or see Descovy 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.