Does Optimum Healthcare, INC. require prior authorization for Klor-Con?
Optimum Healthcare, INC. does not require prior authorization for Klor-Con 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 product | Plans covering | Require prior auth | Step therapy | Qty limit | Status |
|---|---|---|---|---|---|
| Microencapsulated potassium chloride 20 MEQ Extended Release Oral Tablet [Klor-Con]1801295 | 15 / 15 | 0 | 0 | 0 | No prior authorization |
| Microencapsulated potassium chloride 10 MEQ Extended Release Oral Tablet [Klor-Con]1801299 | 15 / 15 | 0 | 0 | 0 | No prior authorization |
| potassium chloride 20 MEQ Powder for Oral Solution [Klor-Con]1867547 | 15 / 15 | 0 | 0 | 0 | No prior authorization |
| potassium chloride 10 MEQ Extended Release Oral Tablet [Klor-Con]628958 | 15 / 15 | 0 | 0 | 0 | No prior authorization |
| potassium chloride 8 MEQ Extended Release Oral Tablet [Klor-Con]832718 | 0 / 15 | 0 | 0 | 0 | Not on formulary |
| Microencapsulated potassium chloride 15 MEQ Extended Release Oral Tablet [Klor-Con]832731 | 0 / 15 | 0 | 0 | 0 | Not on formulary |
Product names come from RxNorm (U.S. National Library of Medicine).
Plan-by-plan detail — Microencapsulated potassium chloride 20 MEQ Extended Release Oral Tablet [Klor-Con]
Klor-Con has 6 products in the corpus; this table is for Microencapsulated potassium chloride 20 MEQ Extended Release Oral Tablet [Klor-Con], 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 | 1 | No | No | No |
| Optimum Diamond Rewards (HMO C-SNP) | H5594-028 | 1 | No | No | No |
| Optimum Diamond Rewards (HMO C-SNP) | H5594-034 | 1 | No | No | No |
| Optimum Diamond Rewards COPD (HMO C-SNP) | H5594-029 | 1 | No | No | No |
| Optimum Diamond Rewards COPD (HMO C-SNP) | H5594-035 | 1 | No | No | No |
| Optimum Diamond Savings (HMO C-SNP) | H5594-030 | 1 | No | No | No |
| Optimum Diamond Savings COPD (HMO C-SNP) | H5594-031 | 1 | No | No | No |
| Optimum Emerald Full (HMO D-SNP) | H5594-017 | 1 | No | No | No |
| Optimum Emerald Partial (HMO D-SNP) | H5594-016 | 1 | No | No | No |
| Optimum Gold Plan (HMO) | H5594-019 | 1 | No | No | No |
| Optimum Gold Plus Plan (HMO) | H5594-032 | 1 | No | No | No |
| Optimum Gold Rewards Plan (HMO) | H5594-001 | 1 | No | No | No |
| Optimum Gold Rewards Plan (HMO) | H5594-022 | 1 | No | No | No |
| Optimum Gold Rewards Plan (HMO) | H5594-026 | 1 | No | No | No |
| Optimum Platinum Plan (HMO) | H5594-002 | 1 | No | No | No |
- 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.
Klor-Con 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.