Does Selecthealth, INC. require prior authorization for Imbruvica?
Selecthealth, INC. requires prior authorization for Imbruvica 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 |
|---|---|---|---|---|---|
| ibrutinib 140 MG Oral Capsule [Imbruvica]1442992 | 14 / 14 | 14 | 0 | 14 | Prior authorization required |
| ibrutinib 70 MG Oral Capsule [Imbruvica]1994362 | 14 / 14 | 14 | 0 | 14 | Prior authorization required |
| ibrutinib 140 MG Oral Tablet [Imbruvica]2000019 | 14 / 14 | 14 | 0 | 14 | Prior authorization required |
| ibrutinib 280 MG Oral Tablet [Imbruvica]2000023 | 14 / 14 | 14 | 0 | 14 | Prior authorization required |
| ibrutinib 420 MG Oral Tablet [Imbruvica]2000027 | 14 / 14 | 14 | 0 | 14 | Prior authorization required |
| ibrutinib 70 MG/ML Oral Suspension [Imbruvica]2611540 | 14 / 14 | 14 | 0 | 14 | Prior authorization required |
Product names come from RxNorm (U.S. National Library of Medicine).
Plan-by-plan detail — ibrutinib 140 MG Oral Capsule [Imbruvica]
Imbruvica has 6 products in the corpus; this table is for ibrutinib 140 MG Oral Capsule [Imbruvica], 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 | Yes | No | Yes |
| Select Health Medicare + Kroger (HMO) | H1994-022 | 5 | Yes | No | Yes |
| Select Health Medicare + Kroger (HMO) | H1994-030 | 5 | Yes | No | Yes |
| Select Health Medicare + Kroger (HMO) | H1994-034 | 5 | Yes | No | Yes |
| Select Health Medicare Active (HMO) | H1994-035 | 5 | Yes | No | Yes |
| Select Health Medicare Dual (HMO D-SNP) | H1994-015 | 5 | Yes | No | Yes |
| Select Health Medicare Dual (HMO D-SNP) | H1994-040 | 5 | Yes | No | Yes |
| Select Health Medicare Essential (HMO) | H1994-001 | 5 | Yes | No | Yes |
| Select Health Medicare Essential (HMO) | H1994-012 | 5 | Yes | No | Yes |
| Select Health Medicare Essential (HMO) | H1994-017 | 5 | Yes | No | Yes |
| Select Health Medicare Essential (HMO) | H1994-027 | 5 | Yes | No | Yes |
| Select Health Medicare Essential (HMO) | H1994-029 | 5 | Yes | No | Yes |
| Select Health Medicare Flex (HMO) | H1994-031 | 5 | Yes | No | Yes |
| Select Health Medicare Wellness (HMO) | H1994-044 | 5 | Yes | No | 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.
Imbruvica 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.