Does Verda Health Plan Of Arizona, INC. require prior authorization for ORKAMBI?
Prior authorization for ORKAMBI differs across Verda Health Plan Of Arizona, INC.'s Medicare Part D plans and product strengths — 2 of 5 ORKAMBI products in the corpus appear on their formularies, and the requirement is not uniform. Check the member's specific plan.
Some plans require authorization and others do not. The member's specific plan decides.
By product strength
| RxNorm product | Plans covering | Require prior auth | Status |
|---|---|---|---|
| ivacaftor 125 MG / lumacaftor 200 MG Oral Tablet [ORKAMBI]1655934 | 2 / 2 | 2 | Prior authorization required |
| ivacaftor 125 MG / lumacaftor 100 MG Oral Tablet [ORKAMBI]1812470 | 2 / 2 | 2 | Prior authorization required |
| ivacaftor 125 MG / lumacaftor 100 MG Oral Granules [ORKAMBI]2053512 | 0 / 2 | 0 | Not on formulary |
| ivacaftor 188 MG / lumacaftor 150 MG Oral Granules [ORKAMBI]2053519 | 0 / 2 | 0 | Not on formulary |
| ivacaftor 94 MG / lumacaftor 75 MG Oral Granules [ORKAMBI]2611460 | 0 / 2 | 0 | Not on formulary |
Product names come from RxNorm (U.S. National Library of Medicine).
- Effective
- 2026-06-30
- Retrieved
- 2026-07-19
- SHA-256
- e626e6bcda1aa6a0071e6f0df6bafe686ae41842cdf0a9feffdc649b6d3ff3ae
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ORKAMBI 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.