Benefily
Prior authorization required

Does Quartz Health Plan Corporation require prior authorization for Xpovio 40 MG Twice Weekly (80 MG total weekly dose- 40 MG Tablets) Carton?

Quartz Health Plan Corporation requires prior authorization for Xpovio 40 MG Twice Weekly (80 MG total weekly dose- 40 MG Tablets) Carton 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 productPlans coveringRequire prior authStep therapyQty limitStatus
{8 (selinexor 40 MG Oral Tablet [Xpovio]) } Pack [Xpovio 40 MG Twice Weekly (80 MG total weekly dose- 40 MG Tablets) Carton]254876710 / 101000Prior authorization required

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

Plan-by-plan detail — {8 (selinexor 40 MG Oral Tablet [Xpovio]) } Pack [Xpovio 40 MG Twice Weekly (80 MG total weekly dose- 40 MG Tablets) Carton]

PlanContractTierPrior authStep therapyQty limit
Gundersen Quartz Med Advantage Basic D (w/Rx) (HMO)H5262-0325YesNoNo
Gundersen Quartz Med Advantage Core D (w/Rx) (HMO)H5262-0215YesNoNo
Gundersen Quartz Med Advantage Dual Eligible (HMO D-SNP)H5262-0295YesNoNo
Gundersen Quartz Med Advantage Elite D (w/Rx) (HMO)H5262-0015YesNoNo
Gundersen Quartz Med Advantage Value D (w/Rx) (HMO)H5262-0035YesNoNo
UW Health Quartz Med Advantage Basic D (w/Rx) (HMO)H5262-0335YesNoNo
UW Health Quartz Med Advantage Core D (w/Rx) (HMO)H5262-0235YesNoNo
UW Health Quartz Med Advantage Dual Eligible (HMO D-SNP)H5262-0305YesNoNo
UW Health Quartz Med Advantage Elite D (w/Rx) (HMO)H5262-0075YesNoNo
UW Health Quartz Med Advantage Value D (w/Rx) (HMO)H5262-0085YesNoNo
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.

Xpovio 40 MG Twice Weekly (80 MG total weekly dose- 40 MG Tablets) Carton at other payers

Or see Xpovio 40 MG Twice Weekly (80 MG total weekly dose- 40 MG Tablets) Carton 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.