Benefily
No prior authorization

Does Preferred Care Partners, INC. require prior authorization for Savella?

Preferred Care Partners, INC. does not require prior authorization for Savella on the Medicare Part D plans that cover it.

No covering plan from this payer files a prior-authorization requirement for this drug.

By product strength

RxNorm productPlans coveringRequire prior authStep therapyQty limitStatus
milnacipran hydrochloride 100 MG Oral Tablet [Savella]83313935 / 35000No prior authorization
milnacipran hydrochloride 12.5 MG Oral Tablet [Savella]83314335 / 35000No prior authorization
milnacipran hydrochloride 50 MG Oral Tablet [Savella]83314635 / 35000No prior authorization
milnacipran hydrochloride 25 MG Oral Tablet [Savella]83314935 / 35000No prior authorization

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

Plan-by-plan detail — milnacipran hydrochloride 100 MG Oral Tablet [Savella]

Savella has 4 products in the corpus; this table is for milnacipran hydrochloride 100 MG Oral Tablet [Savella], the one carried on the most plans. The product table above covers every strength.

PlanContractTierPrior authStep therapyQty limit
AARP Medicare Advantage CareFlex from UHC FL-32 (HMO-POS)H1045-0573NoNoNo
AARP Medicare Advantage CareFlex from UHC FL-33 (HMO-POS)H1045-0583NoNoNo
AARP Medicare Advantage CareFlex from UHC FL-34 (HMO-POS)H1045-0593NoNoNo
AARP Medicare Advantage CareFlex from UHC FL-35 (HMO-POS)H1045-0603NoNoNo
AARP Medicare Advantage CareFlex from UHC FL-37 (HMO-POS)H1045-0673NoNoNo
AARP Medicare Advantage CareFlex from UHC FL-39 (HMO-POS)H1045-0693NoNoNo
AARP Medicare Advantage from UHC FL-0005 (HMO-POS)H1045-0263NoNoNo
AARP Medicare Advantage from UHC FL-0006 (HMO-POS)H1045-0283NoNoNo
AARP Medicare Advantage from UHC FL-0007 (HMO-POS)H1045-0303NoNoNo
AARP Medicare Advantage from UHC FL-0008 (HMO-POS)H1045-0313NoNoNo
AARP Medicare Advantage from UHC FL-0009 (HMO-POS)H1045-0333NoNoNo
AARP Medicare Advantage from UHC FL-0010 (HMO-POS)H1045-0343NoNoNo
AARP Medicare Advantage from UHC FL-0011 (HMO-POS)H1045-0413NoNoNo
AARP Medicare Advantage from UHC FL-0012 (HMO-POS)H1045-0423NoNoNo
AARP Medicare Advantage from UHC FL-0013 (HMO-POS)H1045-0433NoNoNo
AARP Medicare Advantage from UHC FL-0015 (HMO-POS)H1045-0553NoNoNo
AARP Medicare Advantage from UHC FL-001P (HMO-POS)H1045-0363NoNoNo
AARP Medicare Advantage from UHC FL-003P (HMO-POS)H1045-0453NoNoNo
UHC Complete Care FL-14 (HMO-POS C-SNP)H1045-0483NoNoNo
UHC Complete Care FL-14 (HMO-POS C-SNP)H1045-0483NoNoNo
UHC Complete Care FL-14 (HMO-POS C-SNP)H1045-0483NoNoNo
UHC Complete Care FL-14 (HMO-POS C-SNP)H1045-0483NoNoNo
UHC Dual Complete FL-D002 (HMO-POS D-SNP)H1045-0393NoNoNo
UHC Preferred Complete Care FL-0003 (HMO C-SNP)H1045-0183NoNoNo
UHC Preferred Dual Complete FL-D001 (HMO D-SNP)H1045-0123NoNoNo
UHC Preferred Dual Complete FL-D01P (HMO D-SNP)H1045-0383NoNoNo
UHC Preferred Dual Complete FL-V1 (HMO D-SNP)H1045-0613NoNoNo
UHC Preferred Dual Complete FL-V2 (HMO D-SNP)H1045-0643NoNoNo
UHC Preferred Dual Complete FL-Y2 (HMO-POS D-SNP)H1045-0633NoNoNo
UHC Preferred Dual Complete FL-Y3 (HMO-POS D-SNP)H1045-0653NoNoNo
UHC Preferred Medicare Advantage FL-0001 (HMO)H1045-0013NoNoNo
UHC Preferred Medicare Advantage FL-0002 (HMO)H1045-0053NoNoNo
UHC Preferred Medicare Advantage FL-002P (HMO)H1045-0373NoNoNo
UHC The Villages Medicare Advantage FL-0004 (HMO-POS)H1045-0253NoNoNo
UHC The Villages Medicare Advantage FL-004P (HMO-POS)H1045-0563NoNoNo
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.

Savella at other payers

Or see Savella 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.