Prior authorization required
Does Uhc Of California require prior authorization for Ogsiveo 150 MG 7-Day?
Uhc Of California requires prior authorization for Ogsiveo 150 MG 7-Day 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 |
|---|---|---|---|---|---|
| {14 (nirogacestat 150 MG Oral Tablet [Ogsiveo]) } Pack [Ogsiveo 150 MG 7-Day]2680370 | 40 / 40 | 40 | 0 | 40 | Prior authorization required |
Product names come from RxNorm (U.S. National Library of Medicine).
Plan-by-plan detail — {14 (nirogacestat 150 MG Oral Tablet [Ogsiveo]) } Pack [Ogsiveo 150 MG 7-Day]
| Plan | Contract | Tier | Prior auth | Step therapy | Qty limit |
|---|---|---|---|---|---|
| AARP Medicare Advantage from UHC CA-0001 (HMO-POS) | H0543-013 | 5 | Yes | No | Yes |
| AARP Medicare Advantage from UHC CA-0002 (HMO-POS) | H0543-019 | 5 | Yes | No | Yes |
| AARP Medicare Advantage from UHC CA-0005 (HMO-POS) | H0543-035 | 5 | Yes | No | Yes |
| AARP Medicare Advantage from UHC CA-0007 (HMO-POS) | H0543-060 | 5 | Yes | No | Yes |
| AARP Medicare Advantage from UHC CA-0008 (HMO-POS) | H0543-086 | 5 | Yes | No | Yes |
| AARP Medicare Advantage from UHC CA-0010 (HMO-POS) | H0543-140 | 5 | Yes | No | Yes |
| AARP Medicare Advantage from UHC CA-0012 (HMO-POS) | H0543-152 | 5 | Yes | No | Yes |
| AARP Medicare Advantage from UHC CA-0015 (HMO-POS) | H0543-166 | 5 | Yes | No | Yes |
| AARP Medicare Advantage from UHC CA-003P (HMO-POS) | H0543-151 | 5 | Yes | No | Yes |
| AARP Medicare Advantage from UHC CA-004P (HMO-POS) | H0543-168 | 5 | Yes | No | Yes |
| AARP Medicare Advantage from UHC CA-005P (HMO-POS) | H0543-169 | 5 | Yes | No | Yes |
| AARP Medicare Advantage from UHC CA-006P (HMO-POS) | H0543-170 | 5 | Yes | No | Yes |
| AARP Medicare Advantage from UHC CA-021P (HMO-POS) | H0543-220 | 5 | Yes | No | Yes |
| AARP Medicare Advantage from UHC CA-022P (HMO-POS) | H0543-221 | 5 | Yes | No | Yes |
| AARP Medicare Advantage from UHC CA-023P (HMO-POS) | H0543-222 | 5 | Yes | No | Yes |
| AARP Medicare Advantage from UHC CA-026P (HMO-POS) | H0543-225 | 5 | Yes | No | Yes |
| AARP Medicare Advantage from UHC CA-10 (HMO-POS) | H0543-193 | 5 | Yes | No | Yes |
| AARP Medicare Advantage from UHC CA-33 (HMO-POS) | H0543-232 | 5 | Yes | No | Yes |
| AARP Medicare Advantage from UHC CA-37 (HMO-POS) | H0543-251 | 5 | Yes | No | Yes |
| AARP Medicare Advantage from UHC CA-43 (HMO-POS) | H0543-254 | 5 | Yes | No | Yes |
| AARP Medicare Advantage from UHC CA-44 (HMO-POS) | H0543-255 | 5 | Yes | No | Yes |
| AARP Medicare Advantage from UHC CA-7 (HMO-POS) | H0543-188 | 5 | Yes | No | Yes |
| AARP Medicare Advantage from UHC CA-8 (HMO-POS) | H0543-189 | 5 | Yes | No | Yes |
| AARP Medicare Advantage from UHC CA-9 (HMO-POS) | H0543-191 | 5 | Yes | No | Yes |
| AARP Medicare Advantage Giveback from UHC CA-19 (HMO-POS) | H0543-236 | 5 | Yes | No | Yes |
| AARP Medicare Advantage Giveback from UHC CA-20 (HMO-POS) | H0543-237 | 5 | Yes | No | Yes |
| AARP Medicare Advantage Giveback from UHC CA-21 (HMO-POS) | H0543-238 | 5 | Yes | No | Yes |
| UHC Complete Care CA-15P (HMO-POS C-SNP) | H0543-214 | 5 | Yes | No | Yes |
| UHC Complete Care CA-18P (HMO-POS C-SNP) | H0543-217 | 5 | Yes | No | Yes |
| UHC Complete Care CA-19P (HMO-POS C-SNP) | H0543-218 | 5 | Yes | No | Yes |
| UHC Complete Care CA-20P (HMO-POS C-SNP) | H0543-219 | 5 | Yes | No | Yes |
| UHC Complete Care CA-27P (HMO-POS C-SNP) | H0543-226 | 5 | Yes | No | Yes |
| UHC Complete Care Support CA-1AP (HMO C-SNP) | H0543-239 | 5 | Yes | No | Yes |
| UHC Complete Care Support CA-2AP (HMO C-SNP) | H0543-240 | 5 | Yes | No | Yes |
| UHC Complete Care Support CA-3AP (HMO C-SNP) | H0543-241 | 5 | Yes | No | Yes |
| UHC Complete Care Support CA-4AP (HMO C-SNP) | H0543-242 | 5 | Yes | No | Yes |
| UHC Complete Care Support CA-6AP (HMO C-SNP) | H0543-246 | 5 | Yes | No | Yes |
| UHC Complete Care Support CA-8AP (HMO-POS C-SNP) | H0543-249 | 5 | Yes | No | Yes |
| UHC Sharp Medicare Advantage CA-001P (HMO-POS) | H0543-145 | 5 | Yes | No | Yes |
| UHC Sharp Medicare Advantage ValueRx CA-12P (HMO-POS) | H0543-204 | 5 | 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.
Ogsiveo 150 MG 7-Day at other payers
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.