Varies by plan

Does Prominence Healthfirst Of Texas require prior authorization for Ingrezza?

Prior authorization for Ingrezza differs across Prominence Healthfirst Of Texas's Medicare Part D plans and product strengths — 6 of 7 Ingrezza products in the corpus appear on their formularies, and the requirement is not uniform. Check the member's specific plan.

Some plans require authorization and others do not. The member's specific plan decides.

By product strength

RxNorm product	Plans covering	Require prior auth	Status
valbenazine 40 MG Oral Capsule [Ingrezza]1918230	13 / 13	13	Prior authorization required
valbenazine 80 MG Oral Capsule [Ingrezza]1986331	13 / 13	13	Prior authorization required
{7 (valbenazine 40 MG Oral Capsule [Ingrezza]) / 21 (valbenazine 80 MG Oral Capsule [Ingrezza]) } Pack [Ingrezza]2054269	0 / 13	0	Not on formulary
valbenazine 60 MG Oral Capsule [Ingrezza]2541513	13 / 13	13	Prior authorization required
Sprinkle valbenazine 40 MG Oral Capsule [Ingrezza]2680780	13 / 13	13	Prior authorization required
Sprinkle valbenazine 60 MG Oral Capsule [Ingrezza]2680782	13 / 13	13	Prior authorization required
Sprinkle valbenazine 80 MG Oral Capsule [Ingrezza]2680784	13 / 13	13	Prior authorization required

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

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.

Ingrezza at other payers

Or see Ingrezza 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.