Benefily
No prior authorization

Does Uhc Of California require prior authorization for Tenivac?

Uhc Of California does not require prior authorization for Tenivac 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 diphtheria toxoid vaccine, inactivated 4 UNT/ML / tetanus toxoid vaccine, inactivated 10 UNT/ML Injection [Tenivac]119091640 / 400040No prior authorization
0.5 ML diphtheria toxoid vaccine, inactivated 4 UNT/ML / tetanus toxoid vaccine, inactivated 10 UNT/ML Prefilled Syringe [Tenivac]119091940 / 400040No prior authorization

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

Plan-by-plan detail — 0.5 ML diphtheria toxoid vaccine, inactivated 4 UNT/ML / tetanus toxoid vaccine, inactivated 10 UNT/ML Injection [Tenivac]

Tenivac has 2 products in the corpus; this table is for 0.5 ML diphtheria toxoid vaccine, inactivated 4 UNT/ML / tetanus toxoid vaccine, inactivated 10 UNT/ML Injection [Tenivac], 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)H0543-0133NoNoYes
AARP Medicare Advantage from UHC CA-0002 (HMO-POS)H0543-0193NoNoYes
AARP Medicare Advantage from UHC CA-0005 (HMO-POS)H0543-0353NoNoYes
AARP Medicare Advantage from UHC CA-0007 (HMO-POS)H0543-0603NoNoYes
AARP Medicare Advantage from UHC CA-0008 (HMO-POS)H0543-0863NoNoYes
AARP Medicare Advantage from UHC CA-0010 (HMO-POS)H0543-1403NoNoYes
AARP Medicare Advantage from UHC CA-0012 (HMO-POS)H0543-1523NoNoYes
AARP Medicare Advantage from UHC CA-0015 (HMO-POS)H0543-1663NoNoYes
AARP Medicare Advantage from UHC CA-003P (HMO-POS)H0543-1513NoNoYes
AARP Medicare Advantage from UHC CA-004P (HMO-POS)H0543-1683NoNoYes
AARP Medicare Advantage from UHC CA-005P (HMO-POS)H0543-1693NoNoYes
AARP Medicare Advantage from UHC CA-006P (HMO-POS)H0543-1703NoNoYes
AARP Medicare Advantage from UHC CA-021P (HMO-POS)H0543-2203NoNoYes
AARP Medicare Advantage from UHC CA-022P (HMO-POS)H0543-2213NoNoYes
AARP Medicare Advantage from UHC CA-023P (HMO-POS)H0543-2223NoNoYes
AARP Medicare Advantage from UHC CA-026P (HMO-POS)H0543-2253NoNoYes
AARP Medicare Advantage from UHC CA-10 (HMO-POS)H0543-1933NoNoYes
AARP Medicare Advantage from UHC CA-33 (HMO-POS)H0543-2323NoNoYes
AARP Medicare Advantage from UHC CA-37 (HMO-POS)H0543-2513NoNoYes
AARP Medicare Advantage from UHC CA-43 (HMO-POS)H0543-2543NoNoYes
AARP Medicare Advantage from UHC CA-44 (HMO-POS)H0543-2553NoNoYes
AARP Medicare Advantage from UHC CA-7 (HMO-POS)H0543-1883NoNoYes
AARP Medicare Advantage from UHC CA-8 (HMO-POS)H0543-1893NoNoYes
AARP Medicare Advantage from UHC CA-9 (HMO-POS)H0543-1913NoNoYes
AARP Medicare Advantage Giveback from UHC CA-19 (HMO-POS)H0543-2363NoNoYes
AARP Medicare Advantage Giveback from UHC CA-20 (HMO-POS)H0543-2373NoNoYes
AARP Medicare Advantage Giveback from UHC CA-21 (HMO-POS)H0543-2383NoNoYes
UHC Complete Care CA-15P (HMO-POS C-SNP)H0543-2143NoNoYes
UHC Complete Care CA-18P (HMO-POS C-SNP)H0543-2173NoNoYes
UHC Complete Care CA-19P (HMO-POS C-SNP)H0543-2183NoNoYes
UHC Complete Care CA-20P (HMO-POS C-SNP)H0543-2193NoNoYes
UHC Complete Care CA-27P (HMO-POS C-SNP)H0543-2263NoNoYes
UHC Complete Care Support CA-1AP (HMO C-SNP)H0543-2393NoNoYes
UHC Complete Care Support CA-2AP (HMO C-SNP)H0543-2403NoNoYes
UHC Complete Care Support CA-3AP (HMO C-SNP)H0543-2413NoNoYes
UHC Complete Care Support CA-4AP (HMO C-SNP)H0543-2423NoNoYes
UHC Complete Care Support CA-6AP (HMO C-SNP)H0543-2463NoNoYes
UHC Complete Care Support CA-8AP (HMO-POS C-SNP)H0543-2493NoNoYes
UHC Sharp Medicare Advantage CA-001P (HMO-POS)H0543-1453NoNoYes
UHC Sharp Medicare Advantage ValueRx CA-12P (HMO-POS)H0543-2043NoNoYes
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.

Tenivac at other payers

Or see Tenivac 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.