Does Physicians Health Choice Of Texas, LLC require prior authorization for Engerix-B?
Physicians Health Choice Of Texas, LLC requires prior authorization for Engerix-B 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 product | Plans covering | Require prior auth | Step therapy | Qty limit | Status |
|---|---|---|---|---|---|
| 1 ML hepatitis B surface antigen vaccine 0.02 MG/ML Injection [Engerix-B]1658157 | 22 / 22 | 22 | 0 | 22 | Prior authorization required |
| 1 ML hepatitis B surface antigen vaccine 0.02 MG/ML Prefilled Syringe [Engerix-B]798428 | 22 / 22 | 22 | 0 | 22 | Prior authorization required |
| 0.5 ML hepatitis B surface antigen vaccine 0.02 MG/ML Prefilled Syringe [Engerix-B]798430 | 22 / 22 | 22 | 0 | 22 | Prior authorization required |
Product names come from RxNorm (U.S. National Library of Medicine).
Plan-by-plan detail — 1 ML hepatitis B surface antigen vaccine 0.02 MG/ML Injection [Engerix-B]
Engerix-B has 3 products in the corpus; this table is for 1 ML hepatitis B surface antigen vaccine 0.02 MG/ML Injection [Engerix-B], the one carried on the most plans. The product table above covers every strength.
| Plan | Contract | Tier | Prior auth | Step therapy | Qty limit |
|---|---|---|---|---|---|
| AARP Medicare Advantage CareFlex from UHC TX-47 (HMO-POS) | H4527-053 | 3 | Yes | No | Yes |
| AARP Medicare Advantage Essentials from UHC TX-11 (HMO-POS) | H4527-001 | 3 | Yes | No | Yes |
| AARP Medicare Advantage Essentials from UHC TX-12 (HMO-POS) | H4527-002 | 3 | Yes | No | Yes |
| AARP Medicare Advantage Essentials from UHC TX-14 (HMO-POS) | H4527-013 | 3 | Yes | No | Yes |
| AARP Medicare Advantage Extras from UHC TX-50 (HMO-POS) | H4527-055 | 3 | Yes | No | Yes |
| AARP Medicare Advantage Extras from UHC TX-52 (HMO-POS) | H4527-056 | 3 | Yes | No | Yes |
| AARP Medicare Advantage Extras from UHC TX-53 (HMO-POS) | H4527-059 | 3 | Yes | No | Yes |
| AARP Medicare Advantage from UHC TX-0013 (HMO-POS) | H4527-005 | 3 | Yes | No | Yes |
| AARP Medicare Advantage from UHC TX-0015 (HMO-POS) | H4527-037 | 3 | Yes | No | Yes |
| AARP Medicare Advantage from UHC TX-0020 (HMO-POS) | H4527-045 | 3 | Yes | No | Yes |
| AARP Medicare Advantage from UHC TX-46 (HMO-POS) | H4527-052 | 3 | Yes | No | Yes |
| AARP Medicare Advantage from UHC TX-51 (HMO-POS) | H4527-058 | 3 | Yes | No | Yes |
| AARP Medicare Advantage Giveback from UHC TX-35 (HMO-POS) | H4527-048 | 3 | Yes | No | Yes |
| AARP Medicare Advantage Giveback from UHC TX-38 (HMO-POS) | H4527-051 | 3 | Yes | No | Yes |
| UHC Complete Care TX-16 (HMO-POS C-SNP) | H4527-039 | 3 | Yes | No | Yes |
| UHC Complete Care TX-17 (HMO-POS C-SNP) | H4527-040 | 3 | Yes | No | Yes |
| UHC Complete Care TX-18 (HMO-POS C-SNP) | H4527-041 | 3 | Yes | No | Yes |
| UHC Complete Care TX-19 (HMO-POS C-SNP) | H4527-042 | 3 | Yes | No | Yes |
| UHC Dual Complete TX-D003 (HMO-POS D-SNP) | H4527-015 | 3 | Yes | No | Yes |
| UHC Dual Complete TX-Q2 (HMO-POS D-SNP) | H4527-057 | 3 | Yes | No | Yes |
| UHC Dual Complete TX-S4 (HMO-POS D-SNP) | H4527-054 | 3 | Yes | No | Yes |
| UHC Dual Complete TX-V002 (HMO-POS D-SNP) | H4527-003 | 3 | Yes | 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.
Engerix-B 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.