Benefily
No prior authorization

Does Ultimate Health Plans, INC. require prior authorization for Vaqta?

Ultimate Health Plans, INC. does not require prior authorization for Vaqta on the Medicare Part D plans that cover it.

No covering plan from this payer files a prior-authorization requirement for this drug.

  • This drug does not appear on any of this payer's Medicare Part D formularies. That means it is NOT COVERED under those plans — which is a different and generally worse outcome than requiring prior authorization. An exception or formulary-exception request may still be possible.

By product strength

RxNorm productPlans coveringRequire prior authStep therapyQty limitStatus
1 ML hepatitis A virus strain CR 326F antigen, inactivated 50 UNT/ML Injection [Vaqta]165810216 / 16000No prior authorization
0.5 ML hepatitis A virus strain CR 326F antigen, inactivated 50 UNT/ML Injection [Vaqta]165810616 / 16000No prior authorization
1 ML hepatitis A virus strain CR 326F antigen, inactivated 50 UNT/ML Prefilled Syringe [Vaqta]83663416 / 16000No prior authorization
0.5 ML hepatitis A virus strain CR 326F antigen, inactivated 50 UNT/ML Prefilled Syringe [Vaqta]8366360 / 16000Not on formulary

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

Plan-by-plan detail — 1 ML hepatitis A virus strain CR 326F antigen, inactivated 50 UNT/ML Injection [Vaqta]

Vaqta has 4 products in the corpus; this table is for 1 ML hepatitis A virus strain CR 326F antigen, inactivated 50 UNT/ML Injection [Vaqta], the one carried on the most plans. The product table above covers every strength.

PlanContractTierPrior authStep therapyQty limit
Advantage Care by Ultimate (HMO C-SNP)H2962-0211NoNoNo
Advantage Care by Ultimate (HMO C-SNP)H2962-0261NoNoNo
Advantage Care by Ultimate (HMO C-SNP)H2962-0291NoNoNo
Advantage Care by Ultimate (HMO C-SNP)H2962-0331NoNoNo
Advantage Care by Ultimate (HMO C-SNP)H2962-0501NoNoNo
Advantage Care by Ultimate (HMO C-SNP)H2962-0511NoNoNo
Advantage Care by Ultimate (HMO C-SNP)H2962-0521NoNoNo
Advantage Care COPD by Ultimate (HMO C-SNP)H2962-0231NoNoNo
Advantage Care COPD by Ultimate (HMO C-SNP)H2962-0251NoNoNo
Advantage Plus by Ultimate (Full) (HMO D-SNP)H2962-0351NoNoNo
Advantage Plus by Ultimate (Partial) (HMO D-SNP)H2962-0361NoNoNo
Premier by Ultimate (HMO)H2962-0011NoNoNo
Premier by Ultimate (HMO)H2962-0281NoNoNo
Premier by Ultimate (HMO)H2962-0451NoNoNo
Premier by Ultimate (HMO)H2962-0461NoNoNo
Premier by Ultimate (HMO)H2962-0471NoNoNo
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.

Vaqta at other payers

Or see Vaqta 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.