Benefily
No prior authorization

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

Wellpoint Texas, INC. does not require prior authorization for Edarbi on the Medicare Part D plans that cover it.

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

  • No prior authorization is filed, but step therapy applies on 16 of 16 covering plans — the plan requires another drug be tried first.

By product strength

RxNorm productPlans coveringRequire prior authStep therapyQty limitStatus
azilsartan medoxomil 40 MG Oral Tablet [Edarbi]109165016 / 1601616No prior authorization
azilsartan medoxomil 80 MG Oral Tablet [Edarbi]109165416 / 1601616No prior authorization

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

Plan-by-plan detail — azilsartan medoxomil 40 MG Oral Tablet [Edarbi]

Edarbi has 2 products in the corpus; this table is for azilsartan medoxomil 40 MG Oral Tablet [Edarbi], 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)H2593-0063NoYesYes
Wellpoint Dual Advantage 2 (HMO D-SNP)H2593-0324NoYesYes
Wellpoint Full Dual Advantage (HMO D-SNP)H2593-0534NoYesYes
Wellpoint Full Dual Advantage 2 (HMO D-SNP)H2593-0484NoYesYes
Wellpoint Full Dual Advantage 2 (HMO D-SNP)H2593-0514NoYesYes
Wellpoint Full Dual Advantage Aligned (HMO D-SNP)H2593-0444NoYesYes
Wellpoint Full Dual Advantage Aligned (HMO D-SNP)H2593-0454NoYesYes
Wellpoint Full Dual Advantage Aligned (HMO D-SNP)H2593-0464NoYesYes
Wellpoint Full Dual Advantage Aligned (HMO D-SNP)H2593-0474NoYesYes
Wellpoint I CareMore Home Care 2 (HMO I-SNP)H2593-0033NoYesYes
Wellpoint I CareMore Kidney Care (HMO-POS C-SNP)H2593-0403NoYesYes
Wellpoint Kidney Care (HMO-POS C-SNP)H2593-0314NoYesYes
Wellpoint Kidney Care (HMO-POS C-SNP)H2593-0434NoYesYes
Wellpoint Lung Care 2 (HMO-POS C-SNP)H2593-0053NoYesYes
Wellpoint Medicare Advantage 2 (HMO-POS)H2593-0013NoYesYes
Wellpoint Medicare Advantage 2 (HMO-POS)H2593-0294NoYesYes
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.

Edarbi at other payers

Or see Edarbi 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.