No prior authorization

Does Medical Mutual Of Ohio require prior authorization for Tenivac?

Medical Mutual Of Ohio does not require prior authorization for Tenivac 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 product	Plans covering	Require prior auth	Step therapy	Qty limit	Status
0.5 ML diphtheria toxoid vaccine, inactivated 4 UNT/ML / tetanus toxoid vaccine, inactivated 10 UNT/ML Injection [Tenivac]1190916	16 / 16	0	0	0	No prior authorization
0.5 ML diphtheria toxoid vaccine, inactivated 4 UNT/ML / tetanus toxoid vaccine, inactivated 10 UNT/ML Prefilled Syringe [Tenivac]1190919	16 / 16	0	0	0	No prior authorization

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

Plan-by-plan detail — 0.5 ML diphtheria toxoid vaccine, inactivated 4 UNT/ML / tetanus toxoid vaccine, inactivated 10 UNT/ML Injection [Tenivac]

Tenivac has 2 products in the corpus; this table is for 0.5 ML diphtheria toxoid vaccine, inactivated 4 UNT/ML / tetanus toxoid vaccine, inactivated 10 UNT/ML Injection [Tenivac], the one carried on the most plans. The product table above covers every strength.

Plan	Contract	Tier	Prior auth	Step therapy	Qty limit
MedMutual Advantage Access (PPO)	H4497-005	6	No	No	No
MedMutual Advantage Access (PPO)	H4497-005	6	No	No	No
MedMutual Advantage Choice (HMO)	H6723-002	6	No	No	No
MedMutual Advantage Choice (HMO)	H6723-002	6	No	No	No
MedMutual Advantage Classic (HMO)	H6723-001	6	No	No	No
MedMutual Advantage Classic (HMO)	H6723-001	6	No	No	No
MedMutual Advantage Plus (HMO)	H6723-003	6	No	No	No
MedMutual Advantage Plus (HMO)	H6723-003	6	No	No	No
MedMutual Advantage Preferred (PPO)	H4497-002	6	No	No	No
MedMutual Advantage Preferred (PPO)	H4497-002	6	No	No	No
MedMutual Advantage Premium (PPO)	H4497-003	6	No	No	No
MedMutual Advantage Premium (PPO)	H4497-003	6	No	No	No
MedMutual Advantage Select (PPO)	H4497-001	6	No	No	No
MedMutual Advantage Select (PPO)	H4497-001	6	No	No	No
MedMutual Advantage Signature (HMO-POS)	H6723-006	6	No	No	No
MedMutual Advantage Signature (HMO-POS)	H6723-006	6	No	No	No

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.

Tenivac at other payers

Or see Tenivac 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.