Prior authorization required
Does Preferred Care Partners, INC. require prior authorization for Inqovi 5 Tablet Pack?
Preferred Care Partners, INC. requires prior authorization for Inqovi 5 Tablet Pack 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 |
|---|---|---|---|---|---|
| {5 (cedazuridine 100 MG / decitabine 35 MG Oral Tablet [Inqovi]) } Pack [Inqovi 5 Tablet Pack]2384465 | 35 / 35 | 35 | 0 | 35 | Prior authorization required |
Product names come from RxNorm (U.S. National Library of Medicine).
Plan-by-plan detail — {5 (cedazuridine 100 MG / decitabine 35 MG Oral Tablet [Inqovi]) } Pack [Inqovi 5 Tablet Pack]
| Plan | Contract | Tier | Prior auth | Step therapy | Qty limit |
|---|---|---|---|---|---|
| AARP Medicare Advantage CareFlex from UHC FL-32 (HMO-POS) | H1045-057 | 5 | Yes | No | Yes |
| AARP Medicare Advantage CareFlex from UHC FL-33 (HMO-POS) | H1045-058 | 5 | Yes | No | Yes |
| AARP Medicare Advantage CareFlex from UHC FL-34 (HMO-POS) | H1045-059 | 5 | Yes | No | Yes |
| AARP Medicare Advantage CareFlex from UHC FL-35 (HMO-POS) | H1045-060 | 5 | Yes | No | Yes |
| AARP Medicare Advantage CareFlex from UHC FL-37 (HMO-POS) | H1045-067 | 5 | Yes | No | Yes |
| AARP Medicare Advantage CareFlex from UHC FL-39 (HMO-POS) | H1045-069 | 5 | Yes | No | Yes |
| AARP Medicare Advantage from UHC FL-0005 (HMO-POS) | H1045-026 | 5 | Yes | No | Yes |
| AARP Medicare Advantage from UHC FL-0006 (HMO-POS) | H1045-028 | 5 | Yes | No | Yes |
| AARP Medicare Advantage from UHC FL-0007 (HMO-POS) | H1045-030 | 5 | Yes | No | Yes |
| AARP Medicare Advantage from UHC FL-0008 (HMO-POS) | H1045-031 | 5 | Yes | No | Yes |
| AARP Medicare Advantage from UHC FL-0009 (HMO-POS) | H1045-033 | 5 | Yes | No | Yes |
| AARP Medicare Advantage from UHC FL-0010 (HMO-POS) | H1045-034 | 5 | Yes | No | Yes |
| AARP Medicare Advantage from UHC FL-0011 (HMO-POS) | H1045-041 | 5 | Yes | No | Yes |
| AARP Medicare Advantage from UHC FL-0012 (HMO-POS) | H1045-042 | 5 | Yes | No | Yes |
| AARP Medicare Advantage from UHC FL-0013 (HMO-POS) | H1045-043 | 5 | Yes | No | Yes |
| AARP Medicare Advantage from UHC FL-0015 (HMO-POS) | H1045-055 | 5 | Yes | No | Yes |
| AARP Medicare Advantage from UHC FL-001P (HMO-POS) | H1045-036 | 5 | Yes | No | Yes |
| AARP Medicare Advantage from UHC FL-003P (HMO-POS) | H1045-045 | 5 | Yes | No | Yes |
| UHC Complete Care FL-14 (HMO-POS C-SNP) | H1045-048 | 5 | Yes | No | Yes |
| UHC Complete Care FL-14 (HMO-POS C-SNP) | H1045-048 | 5 | Yes | No | Yes |
| UHC Complete Care FL-14 (HMO-POS C-SNP) | H1045-048 | 5 | Yes | No | Yes |
| UHC Complete Care FL-14 (HMO-POS C-SNP) | H1045-048 | 5 | Yes | No | Yes |
| UHC Dual Complete FL-D002 (HMO-POS D-SNP) | H1045-039 | 5 | Yes | No | Yes |
| UHC Preferred Complete Care FL-0003 (HMO C-SNP) | H1045-018 | 5 | Yes | No | Yes |
| UHC Preferred Dual Complete FL-D001 (HMO D-SNP) | H1045-012 | 5 | Yes | No | Yes |
| UHC Preferred Dual Complete FL-D01P (HMO D-SNP) | H1045-038 | 5 | Yes | No | Yes |
| UHC Preferred Dual Complete FL-V1 (HMO D-SNP) | H1045-061 | 5 | Yes | No | Yes |
| UHC Preferred Dual Complete FL-V2 (HMO D-SNP) | H1045-064 | 5 | Yes | No | Yes |
| UHC Preferred Dual Complete FL-Y2 (HMO-POS D-SNP) | H1045-063 | 5 | Yes | No | Yes |
| UHC Preferred Dual Complete FL-Y3 (HMO-POS D-SNP) | H1045-065 | 5 | Yes | No | Yes |
| UHC Preferred Medicare Advantage FL-0001 (HMO) | H1045-001 | 5 | Yes | No | Yes |
| UHC Preferred Medicare Advantage FL-0002 (HMO) | H1045-005 | 5 | Yes | No | Yes |
| UHC Preferred Medicare Advantage FL-002P (HMO) | H1045-037 | 5 | Yes | No | Yes |
| UHC The Villages Medicare Advantage FL-0004 (HMO-POS) | H1045-025 | 5 | Yes | No | Yes |
| UHC The Villages Medicare Advantage FL-004P (HMO-POS) | H1045-056 | 5 | Yes | No | Yes |
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.
Inqovi 5 Tablet Pack 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.