Benefily
No prior authorization

Does Medical Mutual Of Ohio require prior authorization for Reyataz?

Medical Mutual Of Ohio does not require prior authorization for Reyataz on the Medicare Part D plans that cover it.

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

  • This drug does not appear on any of this payer's Medicare Part D formularies. That means it is NOT COVERED under those plans — which is a different and generally worse outcome than requiring prior authorization. An exception or formulary-exception request may still be possible.

By product strength

RxNorm productPlans coveringRequire prior authStep therapyQty limitStatus
atazanavir 50 MG Oral Powder [Reyataz]159898916 / 16000No prior authorization
atazanavir 200 MG Oral Capsule [Reyataz]4020930 / 16000Not on formulary
atazanavir 300 MG Oral Capsule [Reyataz]6647430 / 16000Not on formulary

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

Plan-by-plan detail — atazanavir 50 MG Oral Powder [Reyataz]

Reyataz has 3 products in the corpus; this table is for atazanavir 50 MG Oral Powder [Reyataz], the one carried on the most plans. The product table above covers every strength.

PlanContractTierPrior authStep therapyQty limit
MedMutual Advantage Access (PPO)H4497-0055NoNoNo
MedMutual Advantage Access (PPO)H4497-0055NoNoNo
MedMutual Advantage Choice (HMO)H6723-0025NoNoNo
MedMutual Advantage Choice (HMO)H6723-0025NoNoNo
MedMutual Advantage Classic (HMO)H6723-0015NoNoNo
MedMutual Advantage Classic (HMO)H6723-0015NoNoNo
MedMutual Advantage Plus (HMO)H6723-0035NoNoNo
MedMutual Advantage Plus (HMO)H6723-0035NoNoNo
MedMutual Advantage Preferred (PPO)H4497-0025NoNoNo
MedMutual Advantage Preferred (PPO)H4497-0025NoNoNo
MedMutual Advantage Premium (PPO)H4497-0035NoNoNo
MedMutual Advantage Premium (PPO)H4497-0035NoNoNo
MedMutual Advantage Select (PPO)H4497-0015NoNoNo
MedMutual Advantage Select (PPO)H4497-0015NoNoNo
MedMutual Advantage Signature (HMO-POS)H6723-0065NoNoNo
MedMutual Advantage Signature (HMO-POS)H6723-0065NoNoNo
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.

Reyataz at other payers

Or see Reyataz 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.