Varies by plan

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

Prior authorization for Xolair differs across Solis Health Plans, INC.'s Medicare Part D plans and product strengths — 3 of 7 Xolair 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	Status
omalizumab 150 MG Injection [Xolair]1657212	24 / 24	24	Prior authorization required
1 ML omalizumab 150 MG/ML Prefilled Syringe [Xolair]2058946	24 / 24	24	Prior authorization required
0.5 ML omalizumab 150 MG/ML Prefilled Syringe [Xolair]2058950	24 / 24	24	Prior authorization required
2 ML omalizumab 150 MG/ML Prefilled Syringe [Xolair]2663918	0 / 24	0	Not on formulary
2 ML omalizumab 150 MG/ML Auto-Injector [Xolair]2663923	0 / 24	0	Not on formulary
1 ML omalizumab 150 MG/ML Auto-Injector [Xolair]2673761	0 / 24	0	Not on formulary
0.5 ML omalizumab 150 MG/ML Auto-Injector [Xolair]2673763	0 / 24	0	Not on formulary

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

Plan-by-plan detail — omalizumab 150 MG Injection [Xolair]

Xolair has 7 products in the corpus; this table is for omalizumab 150 MG Injection [Xolair], the one carried on the most plans. The product table above covers every strength.

Plan	Contract	Tier	Prior auth	Step therapy	Qty limit
Solis Balanced Plan (HMO C-SNP)	H0982-027	5	Yes	No	No
Solis Guardian Plan (HMO D-SNP)	H0982-002	5	Yes	No	No
Solis Guardian Plan (HMO D-SNP)	H0982-010	5	Yes	No	No
Solis Guardian Plan (HMO D-SNP)	H0982-012	5	Yes	No	No
Solis Guardian Plan (HMO D-SNP)	H0982-013	5	Yes	No	No
Solis Guardian Plan (HMO D-SNP)	H0982-023	5	Yes	No	No
Solis Guardian Plan (HMO D-SNP)	H0982-025	5	Yes	No	No
Solis Healthy Living Plan (HMO)	H0982-007	5	Yes	No	No
Solis Healthy Living Plan (HMO)	H0982-008	5	Yes	No	No
Solis Healthy Living Plan (HMO)	H0982-009	5	Yes	No	No
Solis Healthy Living Plan (HMO)	H0982-020	5	Yes	No	No
Solis Healthy Living Plan (HMO)	H0982-022	5	Yes	No	No
Solis Healthy Living Plan (HMO)	H0982-024	5	Yes	No	No
Solis Wellness Giveback Plan (HMO C-SNP)	H0982-028	5	Yes	No	No
Solis Wellness Giveback Plan (HMO C-SNP)	H0982-030	5	Yes	No	No
Solis Wellness Giveback Plan (HMO C-SNP)	H0982-031	5	Yes	No	No
Solis Wellness Giveback Plan (HMO C-SNP)	H0982-032	5	Yes	No	No
Solis Wellness Giveback Plan (HMO C-SNP)	H0982-033	5	Yes	No	No
Solis Wellness Plan (HMO C-SNP)	H0982-016	5	Yes	No	No
Solis Wellness Plan (HMO C-SNP)	H0982-017	5	Yes	No	No
Solis Wellness Plan (HMO C-SNP)	H0982-018	5	Yes	No	No
Solis Wellness Plan (HMO C-SNP)	H0982-019	5	Yes	No	No
Solis Wellness Plan (HMO C-SNP)	H0982-021	5	Yes	No	No
Solis Wellness Plan (HMO C-SNP)	H0982-026	5	Yes	No	No

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.

Xolair at other payers

Or see Xolair 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.