Does Prominence Healthfirst require prior authorization for Jardiance?
Prominence Healthfirst does not require prior authorization for Jardiance on the Medicare Part D plans that cover it.
No covering plan from this payer files a prior-authorization requirement for this drug.
- No prior authorization is filed, but step therapy applies on 8 of 8 covering plans — the plan requires another drug be tried first.
By product strength
| RxNorm product | Plans covering | Require prior auth | Step therapy | Qty limit | Status |
|---|---|---|---|---|---|
| empagliflozin 10 MG Oral Tablet [Jardiance]1545664 | 8 / 8 | 0 | 8 | 8 | No prior authorization |
| empagliflozin 25 MG Oral Tablet [Jardiance]1545668 | 8 / 8 | 0 | 8 | 8 | No prior authorization |
Product names come from RxNorm (U.S. National Library of Medicine).
Plan-by-plan detail — empagliflozin 10 MG Oral Tablet [Jardiance]
Jardiance has 2 products in the corpus; this table is for empagliflozin 10 MG Oral Tablet [Jardiance], the one carried on the most plans. The product table above covers every strength.
| Plan | Contract | Tier | Prior auth | Step therapy | Qty limit |
|---|---|---|---|---|---|
| Prominence Diabetes and Heart Giveback (HMO C-SNP) | H5945-016 | 3 | No | Yes | Yes |
| Prominence Dual (HMO D-SNP) | H5945-017 | 3 | No | Yes | Yes |
| Prominence Dual (HMO D-SNP) | H5945-018 | 3 | No | Yes | Yes |
| Prominence Extra Help (HMO) | H5945-013 | 3 | No | Yes | Yes |
| Prominence Extra Help (HMO) | H5945-014 | 3 | No | Yes | Yes |
| Prominence Giveback (HMO) | H5945-027 | 3 | No | Yes | Yes |
| Prominence Plus (HMO) | H5945-001 | 3 | No | Yes | Yes |
| Prominence Plus (HMO) | H5945-002 | 3 | No | Yes | Yes |
- Effective
- 2026-06-30
- Retrieved
- 2026-07-19
- SHA-256
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Jardiance at other payers
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.