Does Mmm Healthcare, LLC require prior authorization for Gardasil 9?
Mmm Healthcare, LLC does not require prior authorization for Gardasil 9 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 L1 protein, human papillomavirus type 11 vaccine 0.08 MG/ML / L1 protein, human papillomavirus type 16 vaccine 0.12 MG/ML / L1 protein, human papillomavirus type 18 vaccine 0.08 MG/ML / L1 protein, human papillomavirus type 31 vaccine 0.04 MG/ML / L1 protein, human papillomavirus type 33 vaccine 0.04 MG/ML / L1 protein, human papillomavirus type 45 vaccine 0.04 MG/ML / L1 protein, human papillomavirus type 52 vaccine 0.04 MG/ML / L1 protein, human papillomavirus type 58 vaccine 0.04 MG/ML / L1 protein, human papillomavirus type 6 vaccine 0.06 MG/ML Injection [Gardasil 9]1597099 | 20 / 20 | 0 | 0 | 0 | No prior authorization |
| 0.5 ML L1 protein, human papillomavirus type 11 vaccine 0.08 MG/ML / L1 protein, human papillomavirus type 16 vaccine 0.12 MG/ML / L1 protein, human papillomavirus type 18 vaccine 0.08 MG/ML / L1 protein, human papillomavirus type 31 vaccine 0.04 MG/ML / L1 protein, human papillomavirus type 33 vaccine 0.04 MG/ML / L1 protein, human papillomavirus type 45 vaccine 0.04 MG/ML / L1 protein, human papillomavirus type 52 vaccine 0.04 MG/ML / L1 protein, human papillomavirus type 58 vaccine 0.04 MG/ML / L1 protein, human papillomavirus type 6 vaccine 0.06 MG/ML Prefilled Syringe [Gardasil 9]1597103 | 20 / 20 | 0 | 0 | 0 | No prior authorization |
Product names come from RxNorm (U.S. National Library of Medicine).
Plan-by-plan detail — 0.5 ML L1 protein, human papillomavirus type 11 vaccine 0.08 MG/ML / L1 protein, human papillomavirus type 16 vaccine 0.12 MG/ML / L1 protein, human papillomavirus type 18 vaccine 0.08 MG/ML / L1 protein, human papillomavirus type 31 vaccine 0.04 MG/ML / L1 protein, human papillomavirus type 33 vaccine 0.04 MG/ML / L1 protein, human papillomavirus type 45 vaccine 0.04 MG/ML / L1 protein, human papillomavirus type 52 vaccine 0.04 MG/ML / L1 protein, human papillomavirus type 58 vaccine 0.04 MG/ML / L1 protein, human papillomavirus type 6 vaccine 0.06 MG/ML Injection [Gardasil 9]
Gardasil 9 has 2 products in the corpus; this table is for 0.5 ML L1 protein, human papillomavirus type 11 vaccine 0.08 MG/ML / L1 protein, human papillomavirus type 16 vaccine 0.12 MG/ML / L1 protein, human papillomavirus type 18 vaccine 0.08 MG/ML / L1 protein, human papillomavirus type 31 vaccine 0.04 MG/ML / L1 protein, human papillomavirus type 33 vaccine 0.04 MG/ML / L1 protein, human papillomavirus type 45 vaccine 0.04 MG/ML / L1 protein, human papillomavirus type 52 vaccine 0.04 MG/ML / L1 protein, human papillomavirus type 58 vaccine 0.04 MG/ML / L1 protein, human papillomavirus type 6 vaccine 0.06 MG/ML Injection [Gardasil 9], the one carried on the most plans. The product table above covers every strength.
| Plan | Contract | Tier | Prior auth | Step therapy | Qty limit |
|---|---|---|---|---|---|
| MMM Balance (HMO-POS) | H4004-073 | 3 | No | No | No |
| MMM Balance (HMO-POS) | H4004-073 | 3 | No | No | No |
| MMM Balance (HMO-POS) | H4004-073 | 3 | No | No | No |
| MMM Combo Platino (HMO D-SNP) | H4004-068 | 3 | No | No | No |
| MMM Deluxe (HMO-POS) | H4003-055 | 3 | No | No | No |
| MMM Diamante Platino (HMO D-SNP) | H4003-017 | 3 | No | No | No |
| MMM Dorado Platino (HMO D-SNP) | H4003-058 | 3 | No | No | No |
| MMM Elite (HMO-POS) | H4003-034 | 3 | No | No | No |
| MMM Flexi Platino (HMO D-SNP) | H4004-069 | 3 | No | No | No |
| MMM Grandioso (HMO-POS) | H4004-070 | 3 | No | No | No |
| MMM Mega Flex (HMO-POS) | H4004-071 | 3 | No | No | No |
| MMM Plenitud (HMO-POS) | H4004-065 | 3 | No | No | No |
| MMM Relax Platino (HMO D-SNP) | H4004-072 | 3 | No | No | No |
| MMM Relax Platino (HMO D-SNP) | H4004-072 | 3 | No | No | No |
| MMM Relax Platino (HMO D-SNP) | H4004-072 | 3 | No | No | No |
| MMM Supremo (HMO C-SNP) | H4003-009 | 3 | No | No | No |
| MMM Unico (HMO-POS) | H4003-019 | 3 | No | No | No |
| MMM Valioso (HMO-POS) | H4004-066 | 3 | No | No | No |
| PMC Max (HMO-POS) | H4004-056 | 3 | No | No | No |
| PMC Premier Platino (HMO D-SNP) | H4004-048 | 3 | No | No | No |
- Effective
- 2026-06-30
- Retrieved
- 2026-07-19
- SHA-256
- e626e6bcda1aa6a0071e6f0df6bafe686ae41842cdf0a9feffdc649b6d3ff3ae
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Gardasil 9 at other payers
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.