Does Qcc Insurance Company require prior authorization for Savella?
Qcc Insurance Company does not require prior authorization for Savella 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 4 of 4 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 |
|---|---|---|---|---|---|
| milnacipran hydrochloride 100 MG Oral Tablet [Savella]833139 | 4 / 4 | 0 | 4 | 0 | No prior authorization |
| milnacipran hydrochloride 12.5 MG Oral Tablet [Savella]833143 | 4 / 4 | 0 | 4 | 4 | No prior authorization |
| milnacipran hydrochloride 50 MG Oral Tablet [Savella]833146 | 4 / 4 | 0 | 4 | 4 | No prior authorization |
| milnacipran hydrochloride 25 MG Oral Tablet [Savella]833149 | 4 / 4 | 0 | 4 | 4 | No prior authorization |
Product names come from RxNorm (U.S. National Library of Medicine).
Plan-by-plan detail — milnacipran hydrochloride 100 MG Oral Tablet [Savella]
Savella has 4 products in the corpus; this table is for milnacipran hydrochloride 100 MG Oral Tablet [Savella], the one carried on the most plans. The product table above covers every strength.
| Plan | Contract | Tier | Prior auth | Step therapy | Qty limit |
|---|---|---|---|---|---|
| Personal Choice 65 Achieve Rx (PPO) | H3909-020 | 4 | No | Yes | No |
| Personal Choice 65 Plus Rx (PPO) | H3909-018 | 4 | No | Yes | No |
| Personal Choice 65 Rx (PPO) | H3909-001 | 4 | No | Yes | No |
| Personal Choice 65 Rx (PPO) | H3909-009 | 4 | No | Yes | No |
- Effective
- 2026-06-30
- Retrieved
- 2026-07-19
- SHA-256
- e626e6bcda1aa6a0071e6f0df6bafe686ae41842cdf0a9feffdc649b6d3ff3ae
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Savella at other payers
Or see Savella across every payer at once.
- UnitedHealthcare
- Centene (WellCare)
- SCAN Health Plan
- Blue Cross Blue Shield (affiliate)
- Elevance Health (Anthem)
- Uhc Of California
- Preferred Care Partners, INC.
- Sunshine State Health Plan, INC.
- Physicians Health Choice Of Texas, LLC
- Tufts Associated Health Maintenance Organization
- Mmm Healthcare, LLC
- Mcs Advantage, INC.
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.