Benefily
No prior authorization

Does Physicians Health Choice Of Texas, LLC require prior authorization for Tiadylt?

Physicians Health Choice Of Texas, LLC does not require prior authorization for Tiadylt 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 productPlans coveringRequire prior authStep therapyQty limitStatus
24 HR diltiazem hydrochloride 120 MG Extended Release Oral Capsule [Tiadylt]198830822 / 22000No prior authorization
24 HR diltiazem hydrochloride 180 MG Extended Release Oral Capsule [Tiadylt]198831122 / 22000No prior authorization
24 HR diltiazem hydrochloride 240 MG Extended Release Oral Capsule [Tiadylt]198831622 / 22000No prior authorization
24 HR diltiazem hydrochloride 300 MG Extended Release Oral Capsule [Tiadylt]198831922 / 22000No prior authorization
24 HR diltiazem hydrochloride 360 MG Extended Release Oral Capsule [Tiadylt]19883240 / 22000Not on formulary
24 HR diltiazem hydrochloride 420 MG Extended Release Oral Capsule [Tiadylt]19883300 / 22000Not on formulary

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

Plan-by-plan detail — 24 HR diltiazem hydrochloride 120 MG Extended Release Oral Capsule [Tiadylt]

Tiadylt has 6 products in the corpus; this table is for 24 HR diltiazem hydrochloride 120 MG Extended Release Oral Capsule [Tiadylt], the one carried on the most plans. The product table above covers every strength.

PlanContractTierPrior authStep therapyQty limit
AARP Medicare Advantage CareFlex from UHC TX-47 (HMO-POS)H4527-0532NoNoNo
AARP Medicare Advantage Essentials from UHC TX-11 (HMO-POS)H4527-0012NoNoNo
AARP Medicare Advantage Essentials from UHC TX-12 (HMO-POS)H4527-0022NoNoNo
AARP Medicare Advantage Essentials from UHC TX-14 (HMO-POS)H4527-0132NoNoNo
AARP Medicare Advantage Extras from UHC TX-50 (HMO-POS)H4527-0552NoNoNo
AARP Medicare Advantage Extras from UHC TX-52 (HMO-POS)H4527-0562NoNoNo
AARP Medicare Advantage Extras from UHC TX-53 (HMO-POS)H4527-0592NoNoNo
AARP Medicare Advantage from UHC TX-0013 (HMO-POS)H4527-0052NoNoNo
AARP Medicare Advantage from UHC TX-0015 (HMO-POS)H4527-0372NoNoNo
AARP Medicare Advantage from UHC TX-0020 (HMO-POS)H4527-0452NoNoNo
AARP Medicare Advantage from UHC TX-46 (HMO-POS)H4527-0522NoNoNo
AARP Medicare Advantage from UHC TX-51 (HMO-POS)H4527-0582NoNoNo
AARP Medicare Advantage Giveback from UHC TX-35 (HMO-POS)H4527-0482NoNoNo
AARP Medicare Advantage Giveback from UHC TX-38 (HMO-POS)H4527-0512NoNoNo
UHC Complete Care TX-16 (HMO-POS C-SNP)H4527-0392NoNoNo
UHC Complete Care TX-17 (HMO-POS C-SNP)H4527-0402NoNoNo
UHC Complete Care TX-18 (HMO-POS C-SNP)H4527-0412NoNoNo
UHC Complete Care TX-19 (HMO-POS C-SNP)H4527-0422NoNoNo
UHC Dual Complete TX-D003 (HMO-POS D-SNP)H4527-0152NoNoNo
UHC Dual Complete TX-Q2 (HMO-POS D-SNP)H4527-0572NoNoNo
UHC Dual Complete TX-S4 (HMO-POS D-SNP)H4527-0542NoNoNo
UHC Dual Complete TX-V002 (HMO-POS D-SNP)H4527-0032NoNoNo
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.

Tiadylt at other payers

Or see Tiadylt 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.