Does Selecthealth, INC. require prior authorization for Invega?
Prior authorization for Invega differs across Selecthealth, INC.'s Medicare Part D plans and product strengths — 4 of 12 Invega products in the corpus appear on their formularies, and the requirement is not uniform. Check the member's specific plan.
Some plans require authorization and others do not. The member's specific plan decides.
- 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.
By product strength
| RxNorm product | Plans covering | Require prior auth | Step therapy | Qty limit | Status |
|---|---|---|---|---|---|
| 0.88 ML paliperidone palmitate 310 MG/ML Prefilled Syringe [Invega]1650968 | 14 / 14 | 14 | 0 | 14 | Prior authorization required |
| 1.32 ML paliperidone palmitate 311 MG/ML Prefilled Syringe [Invega]1650972 | 14 / 14 | 14 | 0 | 14 | Prior authorization required |
| 1.75 ML paliperidone palmitate 312 MG/ML Prefilled Syringe [Invega]1650974 | 14 / 14 | 14 | 0 | 14 | Prior authorization required |
| 2.63 ML paliperidone palmitate 311 MG/ML Prefilled Syringe [Invega]1650976 | 14 / 14 | 14 | 0 | 14 | Prior authorization required |
| 3.5 ML paliperidone palmitate 312 MG/ML Prefilled Syringe [Invega]2570419 | 0 / 14 | 0 | 0 | 0 | Not on formulary |
| 5 ML paliperidone palmitate 312 MG/ML Prefilled Syringe [Invega]2570421 | 0 / 14 | 0 | 0 | 0 | Not on formulary |
| 24 HR paliperidone 3 MG Extended Release Oral Tablet [Invega]686441 | 0 / 14 | 0 | 0 | 0 | Not on formulary |
| 24 HR paliperidone 6 MG Extended Release Oral Tablet [Invega]686443 | 0 / 14 | 0 | 0 | 0 | Not on formulary |
| 24 HR paliperidone 9 MG Extended Release Oral Tablet [Invega]686445 | 0 / 14 | 0 | 0 | 0 | Not on formulary |
| 0.5 ML paliperidone palmitate 156 MG/ML Prefilled Syringe [Invega]858051 | 0 / 14 | 0 | 0 | 0 | Not on formulary |
| 1.5 ML paliperidone palmitate 156 MG/ML Prefilled Syringe [Invega]858053 | 0 / 14 | 0 | 0 | 0 | Not on formulary |
| 1 ML paliperidone palmitate 156 MG/ML Prefilled Syringe [Invega]858055 | 0 / 14 | 0 | 0 | 0 | Not on formulary |
Product names come from RxNorm (U.S. National Library of Medicine).
Plan-by-plan detail — 0.88 ML paliperidone palmitate 310 MG/ML Prefilled Syringe [Invega]
Invega has 12 products in the corpus; this table is for 0.88 ML paliperidone palmitate 310 MG/ML Prefilled Syringe [Invega], 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
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Invega 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.