Varies by plan

Does Pacificsource Community Health Plans require prior authorization for Invega?

Prior authorization for Invega differs across Pacificsource Community Health Plans's Medicare Part D plans and product strengths — 3 of 12 Invega products in the corpus appear on their formularies, and the requirement is not uniform. Check the member's specific plan.

Some plans require authorization and others do not. The member's specific plan decides.

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	Status
0.88 ML paliperidone palmitate 310 MG/ML Prefilled Syringe [Invega]1650968	11 / 11	11	Prior authorization required
1.32 ML paliperidone palmitate 311 MG/ML Prefilled Syringe [Invega]1650972	11 / 11	11	Prior authorization required
1.75 ML paliperidone palmitate 312 MG/ML Prefilled Syringe [Invega]1650974	11 / 11	11	Prior authorization required
2.63 ML paliperidone palmitate 311 MG/ML Prefilled Syringe [Invega]1650976	0 / 11	0	Not on formulary
3.5 ML paliperidone palmitate 312 MG/ML Prefilled Syringe [Invega]2570419	0 / 11	0	Not on formulary
5 ML paliperidone palmitate 312 MG/ML Prefilled Syringe [Invega]2570421	0 / 11	0	Not on formulary
24 HR paliperidone 3 MG Extended Release Oral Tablet [Invega]686441	0 / 11	0	Not on formulary
24 HR paliperidone 6 MG Extended Release Oral Tablet [Invega]686443	0 / 11	0	Not on formulary
24 HR paliperidone 9 MG Extended Release Oral Tablet [Invega]686445	0 / 11	0	Not on formulary
0.5 ML paliperidone palmitate 156 MG/ML Prefilled Syringe [Invega]858051	0 / 11	0	Not on formulary
1.5 ML paliperidone palmitate 156 MG/ML Prefilled Syringe [Invega]858053	0 / 11	0	Not on formulary
1 ML paliperidone palmitate 156 MG/ML Prefilled Syringe [Invega]858055	0 / 11	0	Not on formulary

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

Plan-by-plan detail — 0.88 ML paliperidone palmitate 310 MG/ML Prefilled Syringe [Invega]

Invega has 12 products in the corpus; this table is for 0.88 ML paliperidone palmitate 310 MG/ML Prefilled Syringe [Invega], the one carried on the most plans. The product table above covers every strength.

Plan	Contract	Tier	Prior auth	Step therapy	Qty limit
PacificSource Dual Care (HMO D-SNP)	H3864-043	5	Yes	No	No
PacificSource Medicare Essentials Choice Rx 14 (HMO-POS)	H3864-014	5	Yes	No	No
PacificSource Medicare Essentials Choice Rx 36 (HMO-POS)	H3864-036	5	Yes	No	No
PacificSource Medicare Essentials Rx 27 (HMO)	H3864-027	5	Yes	No	No
PacificSource Medicare Essentials Rx 41 (HMO)	H3864-041	5	Yes	No	No
PacificSource Medicare Essentials Rx 6 (HMO)	H3864-006	5	Yes	No	No
PacificSource Medicare Explorer Rx 4 (PPO)	H4754-004	5	Yes	No	No
PacificSource Medicare MyCare Choice Rx 24 (HMO-POS)	H3864-024	5	Yes	No	No
PacificSource Medicare MyCare Choice Rx 29 (HMO-POS)	H3864-029	5	Yes	No	No
PacificSource Medicare MyCare Choice Rx 34 (HMO-POS)	H3864-034	5	Yes	No	No
PacificSource Medicare MyCare Rx 40 (HMO)	H3864-040	5	Yes	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.

Invega at other payers

Or see Invega 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.