Benefily
No prior authorization

Does Prominence Healthfirst Of Texas require prior authorization for Accutane?

Prominence Healthfirst Of Texas does not require prior authorization for Accutane 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
isotretinoin 10 MG Oral Capsule [Accutane]20688013 / 13000No prior authorization
isotretinoin 20 MG Oral Capsule [Accutane]20688313 / 13000No prior authorization
isotretinoin 40 MG Oral Capsule [Accutane]20690213 / 13000No prior authorization

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

Plan-by-plan detail — isotretinoin 10 MG Oral Capsule [Accutane]

Accutane has 3 products in the corpus; this table is for isotretinoin 10 MG Oral Capsule [Accutane], the one carried on the most plans. The product table above covers every strength.

PlanContractTierPrior authStep therapyQty limit
Prominence Beyond (HMO-POS)H7680-0192NoNoNo
Prominence Beyond (HMO)H7680-0112NoNoNo
Prominence Diabetes and Heart Care Plus (HMO C-SNP)H7680-0162NoNoNo
Prominence Diabetes and Heart Giveback (HMO C-SNP)H7680-0152NoNoNo
Prominence Diabetes and Heart Giveback (HMO C-SNP)H7680-0202NoNoNo
Prominence Dual (HMO D-SNP)H7680-0072NoNoNo
Prominence Dual (HMO D-SNP)H7680-0172NoNoNo
Prominence Extra Help (HMO)H7680-0092NoNoNo
Prominence Extra Help (HMO)H7680-0182NoNoNo
Prominence Giveback (HMO)H7680-0122NoNoNo
Prominence Giveback (HMO)H7680-0142NoNoNo
Prominence Plus (HMO)H7680-0012NoNoNo
Prominence Plus (HMO)H7680-0022NoNoNo
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.

Accutane at other payers

Or see Accutane 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.