Benefily
No prior authorization

Does Solis Health Plans, INC. require prior authorization for Diacomit?

Solis Health Plans, INC. does not require prior authorization for Diacomit 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.

By product strength

RxNorm productPlans coveringRequire prior authStep therapyQty limitStatus
stiripentol 250 MG Oral Capsule [Diacomit]205497924 / 24000No prior authorization
stiripentol 500 MG Oral Capsule [Diacomit]205498324 / 24000No prior authorization
stiripentol 500 MG Powder for Oral Suspension [Diacomit]205501424 / 24000No prior authorization
stiripentol 250 MG Powder for Oral Suspension [Diacomit]20550160 / 24000Not on formulary

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

Plan-by-plan detail — stiripentol 250 MG Oral Capsule [Diacomit]

Diacomit has 4 products in the corpus; this table is for stiripentol 250 MG Oral Capsule [Diacomit], the one carried on the most plans. The product table above covers every strength.

PlanContractTierPrior authStep therapyQty limit
Solis Balanced Plan (HMO C-SNP)H0982-0275NoNoNo
Solis Guardian Plan (HMO D-SNP)H0982-0025NoNoNo
Solis Guardian Plan (HMO D-SNP)H0982-0105NoNoNo
Solis Guardian Plan (HMO D-SNP)H0982-0125NoNoNo
Solis Guardian Plan (HMO D-SNP)H0982-0135NoNoNo
Solis Guardian Plan (HMO D-SNP)H0982-0235NoNoNo
Solis Guardian Plan (HMO D-SNP)H0982-0255NoNoNo
Solis Healthy Living Plan (HMO)H0982-0075NoNoNo
Solis Healthy Living Plan (HMO)H0982-0085NoNoNo
Solis Healthy Living Plan (HMO)H0982-0095NoNoNo
Solis Healthy Living Plan (HMO)H0982-0205NoNoNo
Solis Healthy Living Plan (HMO)H0982-0225NoNoNo
Solis Healthy Living Plan (HMO)H0982-0245NoNoNo
Solis Wellness Giveback Plan (HMO C-SNP)H0982-0285NoNoNo
Solis Wellness Giveback Plan (HMO C-SNP)H0982-0305NoNoNo
Solis Wellness Giveback Plan (HMO C-SNP)H0982-0315NoNoNo
Solis Wellness Giveback Plan (HMO C-SNP)H0982-0325NoNoNo
Solis Wellness Giveback Plan (HMO C-SNP)H0982-0335NoNoNo
Solis Wellness Plan (HMO C-SNP)H0982-0165NoNoNo
Solis Wellness Plan (HMO C-SNP)H0982-0175NoNoNo
Solis Wellness Plan (HMO C-SNP)H0982-0185NoNoNo
Solis Wellness Plan (HMO C-SNP)H0982-0195NoNoNo
Solis Wellness Plan (HMO C-SNP)H0982-0215NoNoNo
Solis Wellness Plan (HMO C-SNP)H0982-0265NoNoNo
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.

Diacomit at other payers

Or see Diacomit 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.