Benefily
No prior authorization

Does Uhc Of California require prior authorization for Dilt?

Uhc Of California does not require prior authorization for Dilt 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
24 HR diltiazem hydrochloride 120 MG Extended Release Oral Capsule [Dilt]83121540 / 40000No prior authorization
24 HR diltiazem hydrochloride 180 MG Extended Release Oral Capsule [Dilt]83125240 / 40000No prior authorization
24 HR diltiazem hydrochloride 240 MG Extended Release Oral Capsule [Dilt]83128540 / 40000No prior authorization

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

Plan-by-plan detail — 24 HR diltiazem hydrochloride 120 MG Extended Release Oral Capsule [Dilt]

Dilt has 3 products in the corpus; this table is for 24 HR diltiazem hydrochloride 120 MG Extended Release Oral Capsule [Dilt], the one carried on the most plans. The product table above covers every strength.

PlanContractTierPrior authStep therapyQty limit
AARP Medicare Advantage from UHC CA-0001 (HMO-POS)H0543-0132NoNoNo
AARP Medicare Advantage from UHC CA-0002 (HMO-POS)H0543-0192NoNoNo
AARP Medicare Advantage from UHC CA-0005 (HMO-POS)H0543-0352NoNoNo
AARP Medicare Advantage from UHC CA-0007 (HMO-POS)H0543-0602NoNoNo
AARP Medicare Advantage from UHC CA-0008 (HMO-POS)H0543-0862NoNoNo
AARP Medicare Advantage from UHC CA-0010 (HMO-POS)H0543-1402NoNoNo
AARP Medicare Advantage from UHC CA-0012 (HMO-POS)H0543-1522NoNoNo
AARP Medicare Advantage from UHC CA-0015 (HMO-POS)H0543-1662NoNoNo
AARP Medicare Advantage from UHC CA-003P (HMO-POS)H0543-1512NoNoNo
AARP Medicare Advantage from UHC CA-004P (HMO-POS)H0543-1682NoNoNo
AARP Medicare Advantage from UHC CA-005P (HMO-POS)H0543-1692NoNoNo
AARP Medicare Advantage from UHC CA-006P (HMO-POS)H0543-1702NoNoNo
AARP Medicare Advantage from UHC CA-021P (HMO-POS)H0543-2202NoNoNo
AARP Medicare Advantage from UHC CA-022P (HMO-POS)H0543-2212NoNoNo
AARP Medicare Advantage from UHC CA-023P (HMO-POS)H0543-2222NoNoNo
AARP Medicare Advantage from UHC CA-026P (HMO-POS)H0543-2252NoNoNo
AARP Medicare Advantage from UHC CA-10 (HMO-POS)H0543-1932NoNoNo
AARP Medicare Advantage from UHC CA-33 (HMO-POS)H0543-2322NoNoNo
AARP Medicare Advantage from UHC CA-37 (HMO-POS)H0543-2512NoNoNo
AARP Medicare Advantage from UHC CA-43 (HMO-POS)H0543-2542NoNoNo
AARP Medicare Advantage from UHC CA-44 (HMO-POS)H0543-2552NoNoNo
AARP Medicare Advantage from UHC CA-7 (HMO-POS)H0543-1882NoNoNo
AARP Medicare Advantage from UHC CA-8 (HMO-POS)H0543-1892NoNoNo
AARP Medicare Advantage from UHC CA-9 (HMO-POS)H0543-1912NoNoNo
AARP Medicare Advantage Giveback from UHC CA-19 (HMO-POS)H0543-2362NoNoNo
AARP Medicare Advantage Giveback from UHC CA-20 (HMO-POS)H0543-2372NoNoNo
AARP Medicare Advantage Giveback from UHC CA-21 (HMO-POS)H0543-2382NoNoNo
UHC Complete Care CA-15P (HMO-POS C-SNP)H0543-2142NoNoNo
UHC Complete Care CA-18P (HMO-POS C-SNP)H0543-2172NoNoNo
UHC Complete Care CA-19P (HMO-POS C-SNP)H0543-2182NoNoNo
UHC Complete Care CA-20P (HMO-POS C-SNP)H0543-2192NoNoNo
UHC Complete Care CA-27P (HMO-POS C-SNP)H0543-2262NoNoNo
UHC Complete Care Support CA-1AP (HMO C-SNP)H0543-2392NoNoNo
UHC Complete Care Support CA-2AP (HMO C-SNP)H0543-2402NoNoNo
UHC Complete Care Support CA-3AP (HMO C-SNP)H0543-2412NoNoNo
UHC Complete Care Support CA-4AP (HMO C-SNP)H0543-2422NoNoNo
UHC Complete Care Support CA-6AP (HMO C-SNP)H0543-2462NoNoNo
UHC Complete Care Support CA-8AP (HMO-POS C-SNP)H0543-2492NoNoNo
UHC Sharp Medicare Advantage CA-001P (HMO-POS)H0543-1452NoNoNo
UHC Sharp Medicare Advantage ValueRx CA-12P (HMO-POS)H0543-2042NoNoNo
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.

Dilt at other payers

Or see Dilt 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.