Does Priority Health require prior authorization for Pegasys?
Priority Health does not require prior authorization for Pegasys 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 |
|---|---|---|---|---|---|
| 1 ML peginterferon alfa-2a 0.18 MG/ML Injection [Pegasys]352297 | 37 / 37 | 0 | 0 | 0 | No prior authorization |
| 0.5 ML peginterferon alfa-2a 0.36 MG/ML Prefilled Syringe [Pegasys]731328 | 37 / 37 | 0 | 0 | 0 | No prior authorization |
Product names come from RxNorm (U.S. National Library of Medicine).
Plan-by-plan detail — 1 ML peginterferon alfa-2a 0.18 MG/ML Injection [Pegasys]
Pegasys has 2 products in the corpus; this table is for 1 ML peginterferon alfa-2a 0.18 MG/ML Injection [Pegasys], the one carried on the most plans. The product table above covers every strength.
| Plan | Contract | Tier | Prior auth | Step therapy | Qty limit |
|---|---|---|---|---|---|
| PriorityMedicare (HMO-POS) | H2320-028 | 5 | No | No | No |
| PriorityMedicare (HMO-POS) | H2320-028 | 5 | No | No | No |
| PriorityMedicare (HMO-POS) | H2320-028 | 5 | No | No | No |
| PriorityMedicare (HMO-POS) | H2320-028 | 5 | No | No | No |
| PriorityMedicare (HMO-POS) | H2320-028 | 5 | No | No | No |
| PriorityMedicare Edge (PPO) | H4875-020 | 5 | No | No | No |
| PriorityMedicare Edge (PPO) | H4875-020 | 5 | No | No | No |
| PriorityMedicare Edge (PPO) | H4875-020 | 5 | No | No | No |
| PriorityMedicare Key (HMO-POS) | H2320-022 | 5 | No | No | No |
| PriorityMedicare Key (HMO-POS) | H2320-022 | 5 | No | No | No |
| PriorityMedicare Key (HMO-POS) | H2320-022 | 5 | No | No | No |
| PriorityMedicare Key (HMO-POS) | H2320-022 | 5 | No | No | No |
| PriorityMedicare Key (HMO-POS) | H2320-022 | 5 | No | No | No |
| PriorityMedicare Merit (PPO) | H4875-016 | 5 | No | No | No |
| PriorityMedicare Merit (PPO) | H4875-016 | 5 | No | No | No |
| PriorityMedicare Merit (PPO) | H4875-016 | 5 | No | No | No |
| PriorityMedicare Merit (PPO) | H4875-016 | 5 | No | No | No |
| PriorityMedicare Merit (PPO) | H4875-016 | 5 | No | No | No |
| PriorityMedicare Smart Savings (HMO-POS) | H2320-032 | 5 | No | No | No |
| PriorityMedicare Smart Savings (HMO-POS) | H2320-032 | 5 | No | No | No |
| PriorityMedicare Smart Savings (HMO-POS) | H2320-032 | 5 | No | No | No |
| PriorityMedicare Thrive (PPO) | H4875-024 | 5 | No | No | No |
| PriorityMedicare Thrive (PPO) | H4875-024 | 5 | No | No | No |
| PriorityMedicare Thrive Plus (PPO) | H4875-018 | 5 | No | No | No |
| PriorityMedicare Thrive Plus (PPO) | H4875-018 | 5 | No | No | No |
| PriorityMedicare Thrive Plus (PPO) | H4875-018 | 5 | No | No | No |
| PriorityMedicare Thrive Plus (PPO) | H4875-018 | 5 | No | No | No |
| PriorityMedicare Thrive Plus (PPO) | H4875-018 | 5 | No | No | No |
| PriorityMedicare Value (HMO-POS) | H2320-029 | 5 | No | No | No |
| PriorityMedicare Value (HMO-POS) | H2320-029 | 5 | No | No | No |
| PriorityMedicare Value (HMO-POS) | H2320-029 | 5 | No | No | No |
| PriorityMedicare Value (HMO-POS) | H2320-029 | 5 | No | No | No |
| PriorityMedicare Value (HMO-POS) | H2320-029 | 5 | No | No | No |
| PriorityMedicare Vintage (HMO-POS) | H2320-031 | 5 | No | No | No |
| PriorityMedicare Vital (PPO) | H4875-022 | 5 | No | No | No |
| PriorityMedicare Vital (PPO) | H4875-022 | 5 | No | No | No |
| PriorityMedicare Vital (PPO) | H4875-022 | 5 | No | No | No |
- 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.
Pegasys 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.