Benefily
No prior authorization

Does Superior Healthplan, INC. require prior authorization for Cimduo?

Superior Healthplan, INC. does not require prior authorization for Cimduo 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
lamivudine 300 MG / tenofovir disoproxil fumarate 300 MG Oral Tablet [Cimduo]200325515 / 15000No prior authorization

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

Plan-by-plan detail — lamivudine 300 MG / tenofovir disoproxil fumarate 300 MG Oral Tablet [Cimduo]

PlanContractTierPrior authStep therapyQty limit
Wellcare Assist (HMO)H5294-0135NoNoNo
Wellcare Assist (HMO)H5294-0165NoNoNo
Wellcare Dual Access (HMO D-SNP)H5294-0155NoNoNo
Wellcare Dual Liberty (HMO D-SNP)H5294-0105NoNoNo
Wellcare Dual Liberty Sync (HMO D-SNP)H5294-0215NoNoNo
Wellcare Dual Liberty Sync (HMO D-SNP)H5294-0225NoNoNo
Wellcare Dual Liberty Sync (HMO D-SNP)H5294-0235NoNoNo
Wellcare Dual Liberty Sync (HMO D-SNP)H5294-0245NoNoNo
Wellcare Dual Liberty Sync (HMO D-SNP)H5294-0255NoNoNo
Wellcare Giveback (HMO)H5294-0195NoNoNo
Wellcare Simple (HMO)H5294-0115NoNoNo
Wellcare Simple (HMO)H5294-0175NoNoNo
Wellcare Simple (HMO)H5294-0185NoNoNo
Wellcare Superior HealthPlan Dual Align (HMO D-SNP)H0062-0115NoNoNo
Wellcare Superior HealthPlan Dual Align (HMO D-SNP)H0062-0125NoNoNo
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.

Cimduo at other payers

Or see Cimduo 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.