Benefily
Prior authorization required

Does Wellpoint Texas, INC. require prior authorization for Aimovig?

Wellpoint Texas, INC. requires prior authorization for Aimovig 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 productPlans coveringRequire prior authStep therapyQty limitStatus
1 ML erenumab-aooe 70 MG/ML Auto-Injector [Aimovig]204563816 / 1616016Prior authorization required
1 ML erenumab-aooe 140 MG/ML Auto-Injector [Aimovig]212019516 / 1616016Prior authorization required

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

Plan-by-plan detail — 1 ML erenumab-aooe 70 MG/ML Auto-Injector [Aimovig]

Aimovig has 2 products in the corpus; this table is for 1 ML erenumab-aooe 70 MG/ML Auto-Injector [Aimovig], the one carried on the most plans. The product table above covers every strength.

PlanContractTierPrior authStep therapyQty limit
Wellpoint Chronic Care 2 (HMO-POS C-SNP)H2593-0063YesNoYes
Wellpoint Dual Advantage 2 (HMO D-SNP)H2593-0323YesNoYes
Wellpoint Full Dual Advantage (HMO D-SNP)H2593-0533YesNoYes
Wellpoint Full Dual Advantage 2 (HMO D-SNP)H2593-0483YesNoYes
Wellpoint Full Dual Advantage 2 (HMO D-SNP)H2593-0513YesNoYes
Wellpoint Full Dual Advantage Aligned (HMO D-SNP)H2593-0443YesNoYes
Wellpoint Full Dual Advantage Aligned (HMO D-SNP)H2593-0453YesNoYes
Wellpoint Full Dual Advantage Aligned (HMO D-SNP)H2593-0463YesNoYes
Wellpoint Full Dual Advantage Aligned (HMO D-SNP)H2593-0473YesNoYes
Wellpoint I CareMore Home Care 2 (HMO I-SNP)H2593-0033YesNoYes
Wellpoint I CareMore Kidney Care (HMO-POS C-SNP)H2593-0403YesNoYes
Wellpoint Kidney Care (HMO-POS C-SNP)H2593-0313YesNoYes
Wellpoint Kidney Care (HMO-POS C-SNP)H2593-0433YesNoYes
Wellpoint Lung Care 2 (HMO-POS C-SNP)H2593-0053YesNoYes
Wellpoint Medicare Advantage 2 (HMO-POS)H2593-0013YesNoYes
Wellpoint Medicare Advantage 2 (HMO-POS)H2593-0293YesNoYes
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.

Aimovig at other payers

Or see Aimovig 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.