Benefily
No prior authorization

Does Priority Health require prior authorization for Dotti?

Priority Health does not require prior authorization for Dotti 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
84 HR estradiol 0.00104 MG/HR Transdermal System [Dotti]211077437 / 37000No prior authorization
84 HR estradiol 0.00156 MG/HR Transdermal System [Dotti]211077737 / 37000No prior authorization
84 HR estradiol 0.00208 MG/HR Transdermal System [Dotti]211078037 / 37000No prior authorization
84 HR estradiol 0.00313 MG/HR Transdermal System [Dotti]211078337 / 37000No prior authorization
84 HR estradiol 0.00417 MG/HR Transdermal System [Dotti]21107860 / 37000Not on formulary

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

Plan-by-plan detail — 84 HR estradiol 0.00104 MG/HR Transdermal System [Dotti]

Dotti has 5 products in the corpus; this table is for 84 HR estradiol 0.00104 MG/HR Transdermal System [Dotti], 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.

Dotti at other payers

Or see Dotti 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.