Does Optimum Healthcare, INC. require prior authorization for Invokamet?
Optimum Healthcare, INC. does not require prior authorization for Invokamet 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 |
|---|---|---|---|---|---|
| canagliflozin 150 MG / metformin hydrochloride 1000 MG Oral Tablet [Invokamet]1545156 | 15 / 15 | 0 | 0 | 15 | No prior authorization |
| canagliflozin 150 MG / metformin hydrochloride 500 MG Oral Tablet [Invokamet]1545159 | 15 / 15 | 0 | 0 | 15 | No prior authorization |
| canagliflozin 50 MG / metformin hydrochloride 1000 MG Oral Tablet [Invokamet]1545163 | 15 / 15 | 0 | 0 | 15 | No prior authorization |
| canagliflozin 50 MG / metformin hydrochloride 500 MG Oral Tablet [Invokamet]1545166 | 15 / 15 | 0 | 0 | 15 | No prior authorization |
| 24 HR canagliflozin 150 MG / metformin hydrochloride 1000 MG Extended Release Oral Tablet [Invokamet]1810999 | 15 / 15 | 0 | 0 | 15 | No prior authorization |
| 24 HR canagliflozin 150 MG / metformin hydrochloride 500 MG Extended Release Oral Tablet [Invokamet]1811003 | 15 / 15 | 0 | 0 | 15 | No prior authorization |
| 24 HR canagliflozin 50 MG / metformin hydrochloride 1000 MG Extended Release Oral Tablet [Invokamet]1811007 | 15 / 15 | 0 | 0 | 15 | No prior authorization |
| 24 HR canagliflozin 50 MG / metformin hydrochloride 500 MG Extended Release Oral Tablet [Invokamet]1811011 | 15 / 15 | 0 | 0 | 15 | No prior authorization |
Product names come from RxNorm (U.S. National Library of Medicine).
Plan-by-plan detail — canagliflozin 150 MG / metformin hydrochloride 1000 MG Oral Tablet [Invokamet]
Invokamet has 8 products in the corpus; this table is for canagliflozin 150 MG / metformin hydrochloride 1000 MG Oral Tablet [Invokamet], the one carried on the most plans. The product table above covers every strength.
| Plan | Contract | Tier | Prior auth | Step therapy | Qty limit |
|---|---|---|---|---|---|
| Optimum Diamond (HMO C-SNP) | H5594-036 | 3 | No | No | Yes |
| Optimum Diamond Rewards (HMO C-SNP) | H5594-028 | 3 | No | No | Yes |
| Optimum Diamond Rewards (HMO C-SNP) | H5594-034 | 3 | No | No | Yes |
| Optimum Diamond Rewards COPD (HMO C-SNP) | H5594-029 | 3 | No | No | Yes |
| Optimum Diamond Rewards COPD (HMO C-SNP) | H5594-035 | 3 | No | No | Yes |
| Optimum Diamond Savings (HMO C-SNP) | H5594-030 | 3 | No | No | Yes |
| Optimum Diamond Savings COPD (HMO C-SNP) | H5594-031 | 3 | No | No | Yes |
| Optimum Emerald Full (HMO D-SNP) | H5594-017 | 3 | No | No | Yes |
| Optimum Emerald Partial (HMO D-SNP) | H5594-016 | 3 | No | No | Yes |
| Optimum Gold Plan (HMO) | H5594-019 | 3 | No | No | Yes |
| Optimum Gold Plus Plan (HMO) | H5594-032 | 3 | No | No | Yes |
| Optimum Gold Rewards Plan (HMO) | H5594-001 | 3 | No | No | Yes |
| Optimum Gold Rewards Plan (HMO) | H5594-022 | 3 | No | No | Yes |
| Optimum Gold Rewards Plan (HMO) | H5594-026 | 3 | No | No | Yes |
| Optimum Platinum Plan (HMO) | H5594-002 | 3 | No | No | Yes |
- 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.
Invokamet at other payers
Or see Invokamet across every payer at once.
- Centene (WellCare)
- Alignment Healthcare
- Elevance Health (Anthem)
- Simply Healthcare Plans, INC.
- Blue Cross Blue Shield (affiliate)
- Sunshine State Health Plan, INC.
- Freedom Health, INC.
- Harmony Health Plan, INC.
- Wellpoint Texas, INC.
- Superior Healthplan, INC.
- Wellpoint Insurance Company
- Healthsun Health Plans, INC.
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.