Benefily
No prior authorization

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

Solis Health Plans, INC. does not require prior authorization for Lokelma 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
sodium zirconium cyclosilicate 5000 MG Powder for Oral Suspension [Lokelma]204763924 / 24000No prior authorization
sodium zirconium cyclosilicate 10000 MG Powder for Oral Suspension [Lokelma]205392724 / 24000No prior authorization

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

Plan-by-plan detail — sodium zirconium cyclosilicate 5000 MG Powder for Oral Suspension [Lokelma]

Lokelma has 2 products in the corpus; this table is for sodium zirconium cyclosilicate 5000 MG Powder for Oral Suspension [Lokelma], the one carried on the most plans. The product table above covers every strength.

PlanContractTierPrior authStep therapyQty limit
Solis Balanced Plan (HMO C-SNP)H0982-0273NoNoNo
Solis Guardian Plan (HMO D-SNP)H0982-0023NoNoNo
Solis Guardian Plan (HMO D-SNP)H0982-0103NoNoNo
Solis Guardian Plan (HMO D-SNP)H0982-0123NoNoNo
Solis Guardian Plan (HMO D-SNP)H0982-0133NoNoNo
Solis Guardian Plan (HMO D-SNP)H0982-0233NoNoNo
Solis Guardian Plan (HMO D-SNP)H0982-0253NoNoNo
Solis Healthy Living Plan (HMO)H0982-0073NoNoNo
Solis Healthy Living Plan (HMO)H0982-0083NoNoNo
Solis Healthy Living Plan (HMO)H0982-0093NoNoNo
Solis Healthy Living Plan (HMO)H0982-0203NoNoNo
Solis Healthy Living Plan (HMO)H0982-0223NoNoNo
Solis Healthy Living Plan (HMO)H0982-0243NoNoNo
Solis Wellness Giveback Plan (HMO C-SNP)H0982-0283NoNoNo
Solis Wellness Giveback Plan (HMO C-SNP)H0982-0303NoNoNo
Solis Wellness Giveback Plan (HMO C-SNP)H0982-0313NoNoNo
Solis Wellness Giveback Plan (HMO C-SNP)H0982-0323NoNoNo
Solis Wellness Giveback Plan (HMO C-SNP)H0982-0333NoNoNo
Solis Wellness Plan (HMO C-SNP)H0982-0163NoNoNo
Solis Wellness Plan (HMO C-SNP)H0982-0173NoNoNo
Solis Wellness Plan (HMO C-SNP)H0982-0183NoNoNo
Solis Wellness Plan (HMO C-SNP)H0982-0193NoNoNo
Solis Wellness Plan (HMO C-SNP)H0982-0213NoNoNo
Solis Wellness Plan (HMO C-SNP)H0982-0263NoNoNo
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.

Lokelma at other payers

Or see Lokelma 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.