Benefily
No prior authorization

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

Solis Health Plans, INC. does not require prior authorization for Liomny on the Medicare Part D plans that cover it.

No covering plan from this payer files a prior-authorization requirement for this drug.

By product strength

RxNorm productPlans coveringRequire prior authStep therapyQty limitStatus
liothyronine sodium 0.025 MG Oral Tablet [Liomny]272358124 / 24000No prior authorization
liothyronine sodium 0.05 MG Oral Tablet [Liomny]272358324 / 24000No prior authorization
liothyronine sodium 0.005 MG Oral Tablet [Liomny]272358524 / 24000No prior authorization

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

Plan-by-plan detail — liothyronine sodium 0.025 MG Oral Tablet [Liomny]

Liomny has 3 products in the corpus; this table is for liothyronine sodium 0.025 MG Oral Tablet [Liomny], the one carried on the most plans. The product table above covers every strength.

PlanContractTierPrior authStep therapyQty limit
Solis Balanced Plan (HMO C-SNP)H0982-0272NoNoNo
Solis Guardian Plan (HMO D-SNP)H0982-0022NoNoNo
Solis Guardian Plan (HMO D-SNP)H0982-0102NoNoNo
Solis Guardian Plan (HMO D-SNP)H0982-0122NoNoNo
Solis Guardian Plan (HMO D-SNP)H0982-0132NoNoNo
Solis Guardian Plan (HMO D-SNP)H0982-0232NoNoNo
Solis Guardian Plan (HMO D-SNP)H0982-0252NoNoNo
Solis Healthy Living Plan (HMO)H0982-0072NoNoNo
Solis Healthy Living Plan (HMO)H0982-0082NoNoNo
Solis Healthy Living Plan (HMO)H0982-0092NoNoNo
Solis Healthy Living Plan (HMO)H0982-0202NoNoNo
Solis Healthy Living Plan (HMO)H0982-0222NoNoNo
Solis Healthy Living Plan (HMO)H0982-0242NoNoNo
Solis Wellness Giveback Plan (HMO C-SNP)H0982-0282NoNoNo
Solis Wellness Giveback Plan (HMO C-SNP)H0982-0302NoNoNo
Solis Wellness Giveback Plan (HMO C-SNP)H0982-0312NoNoNo
Solis Wellness Giveback Plan (HMO C-SNP)H0982-0322NoNoNo
Solis Wellness Giveback Plan (HMO C-SNP)H0982-0332NoNoNo
Solis Wellness Plan (HMO C-SNP)H0982-0162NoNoNo
Solis Wellness Plan (HMO C-SNP)H0982-0172NoNoNo
Solis Wellness Plan (HMO C-SNP)H0982-0182NoNoNo
Solis Wellness Plan (HMO C-SNP)H0982-0192NoNoNo
Solis Wellness Plan (HMO C-SNP)H0982-0212NoNoNo
Solis Wellness Plan (HMO C-SNP)H0982-0262NoNoNo
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.

Liomny at other payers

Or see Liomny 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.