Does Providence Health Assurance require prior authorization for Rubraca?
Providence Health Assurance requires prior authorization for Rubraca 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 |
|---|---|---|---|---|---|
| rucaparib 300 MG Oral Tablet [Rubraca]1862590 | 7 / 7 | 7 | 0 | 7 | Prior authorization required |
| rucaparib 200 MG Oral Tablet [Rubraca]1862595 | 7 / 7 | 7 | 0 | 7 | Prior authorization required |
| rucaparib 250 MG Oral Tablet [Rubraca]1921589 | 7 / 7 | 7 | 0 | 7 | Prior authorization required |
Product names come from RxNorm (U.S. National Library of Medicine).
Plan-by-plan detail — rucaparib 300 MG Oral Tablet [Rubraca]
Rubraca has 3 products in the corpus; this table is for rucaparib 300 MG Oral Tablet [Rubraca], the one carried on the most plans. The product table above covers every strength.
| Plan | Contract | Tier | Prior auth | Step therapy | Qty limit |
|---|---|---|---|---|---|
| Providence Medicare Dual Plus (HMO D-SNP) | H9047-043 | 5 | Yes | No | Yes |
| Providence Medicare Extra + Rx (HMO) | H9047-064 | 5 | Yes | No | Yes |
| Providence Medicare Extra Part B Only + Rx (HMO) | H9047-013 | 5 | Yes | No | Yes |
| Providence Medicare Pine + Rx (HMO) | H9047-063 | 5 | Yes | No | Yes |
| Providence Medicare Prime + Rx (HMO) | H9047-037 | 5 | Yes | No | Yes |
| Providence Medicare Sycamore + Rx (HMO) | H9047-066 | 5 | Yes | No | Yes |
| Providence Medicare Timber + Rx (HMO) | H9047-054 | 5 | Yes | No | Yes |
- Effective
- 2026-06-30
- Retrieved
- 2026-07-19
- SHA-256
- e626e6bcda1aa6a0071e6f0df6bafe686ae41842cdf0a9feffdc649b6d3ff3ae
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Rubraca 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.