Does Presbyterian Health Plan require prior authorization for Vigadrone?
Presbyterian Health Plan does not require prior authorization for Vigadrone 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 product | Plans covering | Require prior auth | Step therapy | Qty limit | Status |
|---|---|---|---|---|---|
| vigabatrin 500 MG Powder for Oral Solution [Vigadrone]2047868 | 6 / 6 | 0 | 0 | 0 | No prior authorization |
| vigabatrin 500 MG Oral Tablet [Vigadrone]2642353 | 6 / 6 | 0 | 0 | 0 | No prior authorization |
Product names come from RxNorm (U.S. National Library of Medicine).
Plan-by-plan detail — vigabatrin 500 MG Powder for Oral Solution [Vigadrone]
Vigadrone has 2 products in the corpus; this table is for vigabatrin 500 MG Powder for Oral Solution [Vigadrone], the one carried on the most plans. The product table above covers every strength.
| Plan | Contract | Tier | Prior auth | Step therapy | Qty limit |
|---|---|---|---|---|---|
| Presbyterian Dual Plus (HMO D-SNP) | H3204-013 | 5 | No | No | No |
| Presbyterian Dual Plus (HMO D-SNP) | H3204-013 | 5 | No | No | No |
| Presbyterian Dual Plus (HMO D-SNP) | H3204-013 | 5 | No | No | No |
| Presbyterian Senior Care Extra Health Plan with Rx (HMO) | H3204-017 | 5 | No | No | No |
| Presbyterian Senior Care Plan 2 with Rx (HMO) | H3204-001 | 5 | No | No | No |
| Presbyterian Senior Care Plan 3 with Rx (HMO) | H3204-007 | 5 | No | No | No |
- Effective
- 2026-06-30
- Retrieved
- 2026-07-19
- SHA-256
- e626e6bcda1aa6a0071e6f0df6bafe686ae41842cdf0a9feffdc649b6d3ff3ae
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Vigadrone 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.