Benefily
No prior authorization

Does Superior Healthplan, INC. require prior authorization for Typhim VI?

Superior Healthplan, INC. does not require prior authorization for Typhim VI 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
0.5 ML typhoid Vi polysaccharide vaccine, S typhi Ty2 strain 0.05 MG/ML Prefilled Syringe [Typhim VI]148649615 / 15000No prior authorization
typhoid Vi polysaccharide vaccine, S typhi Ty2 strain 0.05 MG/ML Injectable Solution [Typhim VI]80722515 / 15000No prior authorization

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

Plan-by-plan detail — 0.5 ML typhoid Vi polysaccharide vaccine, S typhi Ty2 strain 0.05 MG/ML Prefilled Syringe [Typhim VI]

Typhim VI has 2 products in the corpus; this table is for 0.5 ML typhoid Vi polysaccharide vaccine, S typhi Ty2 strain 0.05 MG/ML Prefilled Syringe [Typhim VI], the one carried on the most plans. The product table above covers every strength.

PlanContractTierPrior authStep therapyQty limit
Wellcare Assist (HMO)H5294-0136NoNoNo
Wellcare Assist (HMO)H5294-0166NoNoNo
Wellcare Dual Access (HMO D-SNP)H5294-0156NoNoNo
Wellcare Dual Liberty (HMO D-SNP)H5294-0106NoNoNo
Wellcare Dual Liberty Sync (HMO D-SNP)H5294-0216NoNoNo
Wellcare Dual Liberty Sync (HMO D-SNP)H5294-0226NoNoNo
Wellcare Dual Liberty Sync (HMO D-SNP)H5294-0236NoNoNo
Wellcare Dual Liberty Sync (HMO D-SNP)H5294-0246NoNoNo
Wellcare Dual Liberty Sync (HMO D-SNP)H5294-0256NoNoNo
Wellcare Giveback (HMO)H5294-0196NoNoNo
Wellcare Simple (HMO)H5294-0116NoNoNo
Wellcare Simple (HMO)H5294-0176NoNoNo
Wellcare Simple (HMO)H5294-0186NoNoNo
Wellcare Superior HealthPlan Dual Align (HMO D-SNP)H0062-0116NoNoNo
Wellcare Superior HealthPlan Dual Align (HMO D-SNP)H0062-0126NoNoNo
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.

Typhim VI at other payers

Or see Typhim VI 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.