No prior authorization

Does Prominence Healthfirst Of Texas require prior authorization for Ticovac?

Prominence Healthfirst Of Texas does not require prior authorization for Ticovac 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	Status
0.25 ML tick-borne encephalitis purified antigen 0.0048 MG/ML Prefilled Syringe [Ticovac]2583647	13 / 13	0	No prior authorization
0.5 ML tick-borne encephalitis purified antigen 0.0048 MG/ML Prefilled Syringe [Ticovac]2583650	13 / 13	0	No prior authorization

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.

Ticovac at other payers

Or see Ticovac 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.