Benefily
No prior authorization

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

Solis Health Plans, INC. does not require prior authorization for Jantoven 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
warfarin sodium 1 MG Oral Tablet [Jantoven]85529224 / 24000No prior authorization
warfarin sodium 10 MG Oral Tablet [Jantoven]85530024 / 24000No prior authorization
warfarin sodium 2 MG Oral Tablet [Jantoven]85530624 / 24000No prior authorization
warfarin sodium 2.5 MG Oral Tablet [Jantoven]8553160 / 24000Not on formulary
warfarin sodium 3 MG Oral Tablet [Jantoven]8553220 / 24000Not on formulary
warfarin sodium 4 MG Oral Tablet [Jantoven]8553280 / 24000Not on formulary
warfarin sodium 5 MG Oral Tablet [Jantoven]8553360 / 24000Not on formulary
warfarin sodium 6 MG Oral Tablet [Jantoven]8553420 / 24000Not on formulary
warfarin sodium 7.5 MG Oral Tablet [Jantoven]8553480 / 24000Not on formulary

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

Plan-by-plan detail — warfarin sodium 1 MG Oral Tablet [Jantoven]

Jantoven has 9 products in the corpus; this table is for warfarin sodium 1 MG Oral Tablet [Jantoven], the one carried on the most plans. The product table above covers every strength.

PlanContractTierPrior authStep therapyQty limit
Solis Balanced Plan (HMO C-SNP)H0982-0271NoNoNo
Solis Guardian Plan (HMO D-SNP)H0982-0021NoNoNo
Solis Guardian Plan (HMO D-SNP)H0982-0101NoNoNo
Solis Guardian Plan (HMO D-SNP)H0982-0121NoNoNo
Solis Guardian Plan (HMO D-SNP)H0982-0131NoNoNo
Solis Guardian Plan (HMO D-SNP)H0982-0231NoNoNo
Solis Guardian Plan (HMO D-SNP)H0982-0251NoNoNo
Solis Healthy Living Plan (HMO)H0982-0071NoNoNo
Solis Healthy Living Plan (HMO)H0982-0081NoNoNo
Solis Healthy Living Plan (HMO)H0982-0091NoNoNo
Solis Healthy Living Plan (HMO)H0982-0201NoNoNo
Solis Healthy Living Plan (HMO)H0982-0221NoNoNo
Solis Healthy Living Plan (HMO)H0982-0241NoNoNo
Solis Wellness Giveback Plan (HMO C-SNP)H0982-0281NoNoNo
Solis Wellness Giveback Plan (HMO C-SNP)H0982-0301NoNoNo
Solis Wellness Giveback Plan (HMO C-SNP)H0982-0311NoNoNo
Solis Wellness Giveback Plan (HMO C-SNP)H0982-0321NoNoNo
Solis Wellness Giveback Plan (HMO C-SNP)H0982-0331NoNoNo
Solis Wellness Plan (HMO C-SNP)H0982-0161NoNoNo
Solis Wellness Plan (HMO C-SNP)H0982-0171NoNoNo
Solis Wellness Plan (HMO C-SNP)H0982-0181NoNoNo
Solis Wellness Plan (HMO C-SNP)H0982-0191NoNoNo
Solis Wellness Plan (HMO C-SNP)H0982-0211NoNoNo
Solis Wellness Plan (HMO C-SNP)H0982-0261NoNoNo
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.

Jantoven at other payers

Or see Jantoven 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.