Prior authorization required

Does Triple S Advantage, INC. require prior authorization for Gardasil 9?

Triple S Advantage, INC. requires prior authorization for Gardasil 9 on every Medicare Part D plan of theirs that covers it.

Every plan from this payer that covers the drug requires authorization before it is dispensed.

By product strength

RxNorm product	Plans covering	Require prior auth	Step therapy	Qty limit	Status
0.5 ML L1 protein, human papillomavirus type 11 vaccine 0.08 MG/ML / L1 protein, human papillomavirus type 16 vaccine 0.12 MG/ML / L1 protein, human papillomavirus type 18 vaccine 0.08 MG/ML / L1 protein, human papillomavirus type 31 vaccine 0.04 MG/ML / L1 protein, human papillomavirus type 33 vaccine 0.04 MG/ML / L1 protein, human papillomavirus type 45 vaccine 0.04 MG/ML / L1 protein, human papillomavirus type 52 vaccine 0.04 MG/ML / L1 protein, human papillomavirus type 58 vaccine 0.04 MG/ML / L1 protein, human papillomavirus type 6 vaccine 0.06 MG/ML Injection [Gardasil 9]1597099	22 / 22	22	0	22	Prior authorization required
0.5 ML L1 protein, human papillomavirus type 11 vaccine 0.08 MG/ML / L1 protein, human papillomavirus type 16 vaccine 0.12 MG/ML / L1 protein, human papillomavirus type 18 vaccine 0.08 MG/ML / L1 protein, human papillomavirus type 31 vaccine 0.04 MG/ML / L1 protein, human papillomavirus type 33 vaccine 0.04 MG/ML / L1 protein, human papillomavirus type 45 vaccine 0.04 MG/ML / L1 protein, human papillomavirus type 52 vaccine 0.04 MG/ML / L1 protein, human papillomavirus type 58 vaccine 0.04 MG/ML / L1 protein, human papillomavirus type 6 vaccine 0.06 MG/ML Prefilled Syringe [Gardasil 9]1597103	22 / 22	22	0	22	Prior authorization required

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

Plan-by-plan detail — 0.5 ML L1 protein, human papillomavirus type 11 vaccine 0.08 MG/ML / L1 protein, human papillomavirus type 16 vaccine 0.12 MG/ML / L1 protein, human papillomavirus type 18 vaccine 0.08 MG/ML / L1 protein, human papillomavirus type 31 vaccine 0.04 MG/ML / L1 protein, human papillomavirus type 33 vaccine 0.04 MG/ML / L1 protein, human papillomavirus type 45 vaccine 0.04 MG/ML / L1 protein, human papillomavirus type 52 vaccine 0.04 MG/ML / L1 protein, human papillomavirus type 58 vaccine 0.04 MG/ML / L1 protein, human papillomavirus type 6 vaccine 0.06 MG/ML Injection [Gardasil 9]

Gardasil 9 has 2 products in the corpus; this table is for 0.5 ML L1 protein, human papillomavirus type 11 vaccine 0.08 MG/ML / L1 protein, human papillomavirus type 16 vaccine 0.12 MG/ML / L1 protein, human papillomavirus type 18 vaccine 0.08 MG/ML / L1 protein, human papillomavirus type 31 vaccine 0.04 MG/ML / L1 protein, human papillomavirus type 33 vaccine 0.04 MG/ML / L1 protein, human papillomavirus type 45 vaccine 0.04 MG/ML / L1 protein, human papillomavirus type 52 vaccine 0.04 MG/ML / L1 protein, human papillomavirus type 58 vaccine 0.04 MG/ML / L1 protein, human papillomavirus type 6 vaccine 0.06 MG/ML Injection [Gardasil 9], the one carried on the most plans. The product table above covers every strength.

Plan	Contract	Tier	Prior auth	Step therapy	Qty limit
Ahorro Plus (HMO)	H5774-047	6	Yes	No	Yes
Ahorro Plus (HMO)	H5774-047	6	Yes	No	Yes
Ahorro Plus (HMO)	H5774-047	6	Yes	No	Yes
Ahorro Plus (HMO)	H5774-047	6	Yes	No	Yes
Ahorro Plus (HMO)	H5774-047	6	Yes	No	Yes
Brillante (HMO-POS)	H5774-031	6	Yes	No	Yes
Contigo Plus (HMO C-SNP)	H5774-022	6	Yes	No	Yes
ContigoEnMente (HMO C-SNP)	H5774-046	6	Yes	No	Yes
Enlace Plus (HMO)	H5774-038	6	Yes	No	Yes
PLATINO ADVANCE (HMO D-SNP)	H5774-041	1	Yes	No	Yes
PLATINO ADVANCE (HMO D-SNP)	H5774-041	1	Yes	No	Yes
PLATINO ADVANCE (HMO D-SNP)	H5774-041	1	Yes	No	Yes
PLATINO ADVANCE (HMO D-SNP)	H5774-041	1	Yes	No	Yes
PLATINO ADVANCE (HMO D-SNP)	H5774-041	1	Yes	No	Yes
Platino Blindao (HMO D-SNP)	H5774-028	1	Yes	No	Yes
Platino Enlace (HMO D-SNP)	H5774-035	1	Yes	No	Yes
PLATINO PLUS (HMO D-SNP)	H5774-043	1	Yes	No	Yes
PLATINO PLUS (HMO D-SNP)	H5774-043	1	Yes	No	Yes
PLATINO PLUS (HMO D-SNP)	H5774-043	1	Yes	No	Yes
PLATINO PLUS (HMO D-SNP)	H5774-043	1	Yes	No	Yes
PLATINO PLUS (HMO D-SNP)	H5774-043	1	Yes	No	Yes
�ptimo Plus (PPO)	H4005-004	6	Yes	No	Yes

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.

Gardasil 9 at other payers

Or see Gardasil 9 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.