Prior authorization required

Does Prominence Healthfirst Of Texas require prior authorization for Akeega?

Prominence Healthfirst Of Texas requires prior authorization for Akeega on every Medicare Part D plan of theirs that covers it.

Every plan from this payer that covers the drug requires authorization before it is dispensed.

By product strength

RxNorm product	Plans covering	Require prior auth	Step therapy	Qty limit	Status
abiraterone acetate 500 MG / niraparib 50 MG Oral Tablet [Akeega]2645250	13 / 13	13	0	0	Prior authorization required
abiraterone acetate 500 MG / niraparib 100 MG Oral Tablet [Akeega]2645253	13 / 13	13	0	0	Prior authorization required

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

Plan-by-plan detail — abiraterone acetate 500 MG / niraparib 50 MG Oral Tablet [Akeega]

Akeega has 2 products in the corpus; this table is for abiraterone acetate 500 MG / niraparib 50 MG Oral Tablet [Akeega], the one carried on the most plans. The product table above covers every strength.

Plan	Contract	Tier	Prior auth	Step therapy	Qty limit
Prominence Beyond (HMO-POS)	H7680-019	5	Yes	No	No
Prominence Beyond (HMO)	H7680-011	5	Yes	No	No
Prominence Diabetes and Heart Care Plus (HMO C-SNP)	H7680-016	5	Yes	No	No
Prominence Diabetes and Heart Giveback (HMO C-SNP)	H7680-015	5	Yes	No	No
Prominence Diabetes and Heart Giveback (HMO C-SNP)	H7680-020	5	Yes	No	No
Prominence Dual (HMO D-SNP)	H7680-007	5	Yes	No	No
Prominence Dual (HMO D-SNP)	H7680-017	5	Yes	No	No
Prominence Extra Help (HMO)	H7680-009	5	Yes	No	No
Prominence Extra Help (HMO)	H7680-018	5	Yes	No	No
Prominence Giveback (HMO)	H7680-012	5	Yes	No	No
Prominence Giveback (HMO)	H7680-014	5	Yes	No	No
Prominence Plus (HMO)	H7680-001	5	Yes	No	No
Prominence Plus (HMO)	H7680-002	5	Yes	No	No

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.

Akeega at other payers

Or see Akeega 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.