Benefily
No prior authorization

Does Mount Carmel Health Plan, INC. require prior authorization for Myrbetriq?

Mount Carmel Health Plan, INC. does not require prior authorization for Myrbetriq 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
24 HR mirabegron 25 MG Extended Release Oral Tablet [Myrbetriq]130079711 / 110011No prior authorization
24 HR mirabegron 50 MG Extended Release Oral Tablet [Myrbetriq]130080311 / 110011No prior authorization
24 HR mirabegron 8 MG/ML Extended Release Suspension [Myrbetriq]254123711 / 110011No prior authorization

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

Plan-by-plan detail — 24 HR mirabegron 25 MG Extended Release Oral Tablet [Myrbetriq]

Myrbetriq has 3 products in the corpus; this table is for 24 HR mirabegron 25 MG Extended Release Oral Tablet [Myrbetriq], the one carried on the most plans. The product table above covers every strength.

PlanContractTierPrior authStep therapyQty limit
MercyOne Health Plan Cash Back (HMO)H3668-0313NoNoYes
MercyOne Health Plan No Premium (HMO)H3668-0253NoNoYes
MercyOne Health Plan Plus (HMO)H3668-0263NoNoYes
Mount Carmel MediGold Cash Back (HMO)H3668-0303NoNoYes
Mount Carmel MediGold No Premium (HMO)H3668-0193NoNoYes
Mount Carmel MediGold No Premium (HMO)H3668-0193NoNoYes
Mount Carmel MediGold No Premium (HMO)H3668-0203NoNoYes
Mount Carmel MediGold Plus (HMO)H3668-0223NoNoYes
Mount Carmel MediGold Plus (HMO)H3668-0233NoNoYes
Mount Carmel MediGold Premier (HMO)H3668-0183NoNoYes
Mount Carmel MediGold Premier (HMO)H3668-0183NoNoYes
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.

Myrbetriq at other payers

Or see Myrbetriq 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.