Does Selecthealth, INC. require prior authorization for FYCOMPA?
Selecthealth, INC. does not require prior authorization for FYCOMPA on the Medicare Part D plans that cover it.
No covering plan from this payer files a prior-authorization requirement for this drug.
- This drug does not appear on any of this payer's Medicare Part D formularies. That means it is NOT COVERED under those plans — which is a different and generally worse outcome than requiring prior authorization. An exception or formulary-exception request may still be possible.
- No prior authorization is filed, but step therapy applies on 14 of 14 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 |
|---|---|---|---|---|---|
| perampanel 2 MG Oral Tablet [FYCOMPA]1356563 | 0 / 14 | 0 | 0 | 0 | Not on formulary |
| perampanel 4 MG Oral Tablet [FYCOMPA]1356572 | 0 / 14 | 0 | 0 | 0 | Not on formulary |
| perampanel 6 MG Oral Tablet [FYCOMPA]1356576 | 0 / 14 | 0 | 0 | 0 | Not on formulary |
| perampanel 8 MG Oral Tablet [FYCOMPA]1356580 | 0 / 14 | 0 | 0 | 0 | Not on formulary |
| perampanel 10 MG Oral Tablet [FYCOMPA]1356584 | 0 / 14 | 0 | 0 | 0 | Not on formulary |
| perampanel 12 MG Oral Tablet [FYCOMPA]1356588 | 0 / 14 | 0 | 0 | 0 | Not on formulary |
| perampanel 0.5 MG/ML Oral Suspension [FYCOMPA]1790126 | 14 / 14 | 0 | 14 | 14 | No prior authorization |
Product names come from RxNorm (U.S. National Library of Medicine).
Plan-by-plan detail — perampanel 0.5 MG/ML Oral Suspension [FYCOMPA]
FYCOMPA has 7 products in the corpus; this table is for perampanel 0.5 MG/ML Oral Suspension [FYCOMPA], the one carried on the most plans. The product table above covers every strength.
| Plan | Contract | Tier | Prior auth | Step therapy | Qty limit |
|---|---|---|---|---|---|
| Select Health Medicare + Kroger (HMO) | H1994-021 | 5 | No | Yes | Yes |
| Select Health Medicare + Kroger (HMO) | H1994-022 | 5 | No | Yes | Yes |
| Select Health Medicare + Kroger (HMO) | H1994-030 | 5 | No | Yes | Yes |
| Select Health Medicare + Kroger (HMO) | H1994-034 | 5 | No | Yes | Yes |
| Select Health Medicare Active (HMO) | H1994-035 | 5 | No | Yes | Yes |
| Select Health Medicare Dual (HMO D-SNP) | H1994-015 | 5 | No | Yes | Yes |
| Select Health Medicare Dual (HMO D-SNP) | H1994-040 | 5 | No | Yes | Yes |
| Select Health Medicare Essential (HMO) | H1994-001 | 5 | No | Yes | Yes |
| Select Health Medicare Essential (HMO) | H1994-012 | 5 | No | Yes | Yes |
| Select Health Medicare Essential (HMO) | H1994-017 | 5 | No | Yes | Yes |
| Select Health Medicare Essential (HMO) | H1994-027 | 5 | No | Yes | Yes |
| Select Health Medicare Essential (HMO) | H1994-029 | 5 | No | Yes | Yes |
| Select Health Medicare Flex (HMO) | H1994-031 | 5 | No | Yes | Yes |
| Select Health Medicare Wellness (HMO) | H1994-044 | 5 | No | Yes | Yes |
- 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.
FYCOMPA 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.