Benefily
No prior authorization

Does Priority Health require prior authorization for Dilt?

Priority Health does not require prior authorization for Dilt 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
24 HR diltiazem hydrochloride 120 MG Extended Release Oral Capsule [Dilt]83121537 / 37000No prior authorization
24 HR diltiazem hydrochloride 180 MG Extended Release Oral Capsule [Dilt]83125237 / 37000No prior authorization
24 HR diltiazem hydrochloride 240 MG Extended Release Oral Capsule [Dilt]83128537 / 37000No prior authorization

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 [Dilt]

Dilt has 3 products in the corpus; this table is for 24 HR diltiazem hydrochloride 120 MG Extended Release Oral Capsule [Dilt], the one carried on the most plans. The product table above covers every strength.

PlanContractTierPrior authStep therapyQty limit
PriorityMedicare (HMO-POS)H2320-0282NoNoNo
PriorityMedicare (HMO-POS)H2320-0282NoNoNo
PriorityMedicare (HMO-POS)H2320-0282NoNoNo
PriorityMedicare (HMO-POS)H2320-0282NoNoNo
PriorityMedicare (HMO-POS)H2320-0282NoNoNo
PriorityMedicare Edge (PPO)H4875-0202NoNoNo
PriorityMedicare Edge (PPO)H4875-0202NoNoNo
PriorityMedicare Edge (PPO)H4875-0202NoNoNo
PriorityMedicare Key (HMO-POS)H2320-0222NoNoNo
PriorityMedicare Key (HMO-POS)H2320-0222NoNoNo
PriorityMedicare Key (HMO-POS)H2320-0222NoNoNo
PriorityMedicare Key (HMO-POS)H2320-0222NoNoNo
PriorityMedicare Key (HMO-POS)H2320-0222NoNoNo
PriorityMedicare Merit (PPO)H4875-0162NoNoNo
PriorityMedicare Merit (PPO)H4875-0162NoNoNo
PriorityMedicare Merit (PPO)H4875-0162NoNoNo
PriorityMedicare Merit (PPO)H4875-0162NoNoNo
PriorityMedicare Merit (PPO)H4875-0162NoNoNo
PriorityMedicare Smart Savings (HMO-POS)H2320-0322NoNoNo
PriorityMedicare Smart Savings (HMO-POS)H2320-0322NoNoNo
PriorityMedicare Smart Savings (HMO-POS)H2320-0322NoNoNo
PriorityMedicare Thrive (PPO)H4875-0242NoNoNo
PriorityMedicare Thrive (PPO)H4875-0242NoNoNo
PriorityMedicare Thrive Plus (PPO)H4875-0182NoNoNo
PriorityMedicare Thrive Plus (PPO)H4875-0182NoNoNo
PriorityMedicare Thrive Plus (PPO)H4875-0182NoNoNo
PriorityMedicare Thrive Plus (PPO)H4875-0182NoNoNo
PriorityMedicare Thrive Plus (PPO)H4875-0182NoNoNo
PriorityMedicare Value (HMO-POS)H2320-0292NoNoNo
PriorityMedicare Value (HMO-POS)H2320-0292NoNoNo
PriorityMedicare Value (HMO-POS)H2320-0292NoNoNo
PriorityMedicare Value (HMO-POS)H2320-0292NoNoNo
PriorityMedicare Value (HMO-POS)H2320-0292NoNoNo
PriorityMedicare Vintage (HMO-POS)H2320-0312NoNoNo
PriorityMedicare Vital (PPO)H4875-0222NoNoNo
PriorityMedicare Vital (PPO)H4875-0222NoNoNo
PriorityMedicare Vital (PPO)H4875-0222NoNoNo
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.

Dilt at other payers

Or see Dilt 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.