Varies by plan

Does Prominence Healthfirst Of Texas require prior authorization for Vigadrone?

Prior authorization for Vigadrone differs across Prominence Healthfirst Of Texas's Medicare Part D plans and product strengths — 2 of 2 Vigadrone 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	Step therapy	Qty limit	Status
vigabatrin 500 MG Powder for Oral Solution [Vigadrone]2047868	13 / 13	13	0	13	Prior authorization required
vigabatrin 500 MG Oral Tablet [Vigadrone]2642353	13 / 13	0	0	0	No prior authorization

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

Plan-by-plan detail — vigabatrin 500 MG Powder for Oral Solution [Vigadrone]

Vigadrone has 2 products in the corpus; this table is for vigabatrin 500 MG Powder for Oral Solution [Vigadrone], 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	Yes
Prominence Beyond (HMO)	H7680-011	5	Yes	No	Yes
Prominence Diabetes and Heart Care Plus (HMO C-SNP)	H7680-016	5	Yes	No	Yes
Prominence Diabetes and Heart Giveback (HMO C-SNP)	H7680-015	5	Yes	No	Yes
Prominence Diabetes and Heart Giveback (HMO C-SNP)	H7680-020	5	Yes	No	Yes
Prominence Dual (HMO D-SNP)	H7680-007	5	Yes	No	Yes
Prominence Dual (HMO D-SNP)	H7680-017	5	Yes	No	Yes
Prominence Extra Help (HMO)	H7680-009	5	Yes	No	Yes
Prominence Extra Help (HMO)	H7680-018	5	Yes	No	Yes
Prominence Giveback (HMO)	H7680-012	5	Yes	No	Yes
Prominence Giveback (HMO)	H7680-014	5	Yes	No	Yes
Prominence Plus (HMO)	H7680-001	5	Yes	No	Yes
Prominence Plus (HMO)	H7680-002	5	Yes	No	Yes

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.

Vigadrone at other payers

Or see Vigadrone 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.