Benefily
Prior authorization required

Does Perennial Advantage Of Ohio, INC. require prior authorization for Kalydeco?

Perennial Advantage Of Ohio, INC. requires prior authorization for Kalydeco on every Medicare Part D plan of theirs that covers it.

Every plan from this payer that covers the drug requires authorization before it is dispensed.

By product strength

RxNorm productPlans coveringRequire prior authStatus
ivacaftor 150 MG Oral Tablet [Kalydeco]12430523 / 33Prior authorization required
ivacaftor 50 MG Oral Granules [Kalydeco]16068663 / 33Prior authorization required
ivacaftor 75 MG Oral Granules [Kalydeco]16068703 / 33Prior authorization required
ivacaftor 25 MG Oral Granules [Kalydeco]21664013 / 33Prior authorization required
ivacaftor 13.4 MG Oral Granules [Kalydeco]26367893 / 33Prior authorization required
ivacaftor 5.8 MG Oral Granules [Kalydeco]26367933 / 33Prior authorization required

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

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.

Kalydeco at other payers

Or see Kalydeco 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.