Benefily
No prior authorization

Does Zing Health Of Michigan, INC. require prior authorization for Quadracel?

Zing Health Of Michigan, INC. does not require prior authorization for Quadracel 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 Bordetella pertussis filamentous hemagglutinin vaccine, inactivated 0.04 MG/ML / Bordetella pertussis fimbriae 2/3 vaccine, inactivated 0.01 MG/ML / Bordetella pertussis pertactin vaccine, inactivated 0.006 MG/ML / Bordetella pertussis toxoid vaccine, inactivated 0.04 MG/ML / diphtheria toxoid vaccine, inactivated 30 UNT/ML / poliovirus vaccine inactivated, type 1 (Mahoney) 58 UNT/ML / poliovirus vaccine inactivated, type 2 (MEF-1) 14 UNT/ML / poliovirus vaccine inactivated, type 3 (Saukett) 52 UNT/ML / tetanus toxoid vaccine, inactivated 10 UNT/ML Injection [Quadracel]258705733 / 33000No prior authorization
0.5 ML Bordetella pertussis filamentous hemagglutinin vaccine, inactivated 0.04 MG/ML / Bordetella pertussis fimbriae 2/3 vaccine, inactivated 0.01 MG/ML / Bordetella pertussis pertactin vaccine, inactivated 0.006 MG/ML / Bordetella pertussis toxoid vaccine, inactivated 0.04 MG/ML / diphtheria toxoid vaccine, inactivated 30 UNT/ML / poliovirus vaccine inactivated, type 1 (Mahoney) 58 UNT/ML / poliovirus vaccine inactivated, type 2 (MEF-1) 14 UNT/ML / poliovirus vaccine inactivated, type 3 (Saukett) 52 UNT/ML / tetanus toxoid vaccine, inactivated 10 UNT/ML Prefilled Syringe [Quadracel]259312133 / 33000No prior authorization

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

Plan-by-plan detail — 0.5 ML Bordetella pertussis filamentous hemagglutinin vaccine, inactivated 0.04 MG/ML / Bordetella pertussis fimbriae 2/3 vaccine, inactivated 0.01 MG/ML / Bordetella pertussis pertactin vaccine, inactivated 0.006 MG/ML / Bordetella pertussis toxoid vaccine, inactivated 0.04 MG/ML / diphtheria toxoid vaccine, inactivated 30 UNT/ML / poliovirus vaccine inactivated, type 1 (Mahoney) 58 UNT/ML / poliovirus vaccine inactivated, type 2 (MEF-1) 14 UNT/ML / poliovirus vaccine inactivated, type 3 (Saukett) 52 UNT/ML / tetanus toxoid vaccine, inactivated 10 UNT/ML Injection [Quadracel]

Quadracel has 2 products in the corpus; this table is for 0.5 ML Bordetella pertussis filamentous hemagglutinin vaccine, inactivated 0.04 MG/ML / Bordetella pertussis fimbriae 2/3 vaccine, inactivated 0.01 MG/ML / Bordetella pertussis pertactin vaccine, inactivated 0.006 MG/ML / Bordetella pertussis toxoid vaccine, inactivated 0.04 MG/ML / diphtheria toxoid vaccine, inactivated 30 UNT/ML / poliovirus vaccine inactivated, type 1 (Mahoney) 58 UNT/ML / poliovirus vaccine inactivated, type 2 (MEF-1) 14 UNT/ML / poliovirus vaccine inactivated, type 3 (Saukett) 52 UNT/ML / tetanus toxoid vaccine, inactivated 10 UNT/ML Injection [Quadracel], the one carried on the most plans. The product table above covers every strength.

PlanContractTierPrior authStep therapyQty limit
Zing Choice IL (HMO)H4624-0011NoNoNo
Zing Elite Balance MI (HMO C-SNP)H4624-0461NoNoNo
Zing Elite Diabetes & Heart IL (HMO C-SNP)H4624-0281NoNoNo
Zing Elite Diabetes & Heart IN (HMO C-SNP)H4624-0311NoNoNo
Zing Elite Diabetes & Heart MI (HMO C-SNP)H4624-0321NoNoNo
Zing Elite Diabetes & Heart OH (HMO C-SNP)H4624-0331NoNoNo
Zing Elite Diabetes & Heart TN-MS (HMO C-SNP)H4624-0391NoNoNo
Zing Elite Essentials Diabetes & Heart IL-IN (HMO C-SNP)H4624-0451NoNoNo
Zing Elite Select IL-IN (HMO)H4624-0261NoNoNo
Zing Elite Select MI (HMO)H4624-0221NoNoNo
Zing Elite Select OH (HMO)H4624-0371NoNoNo
Zing Elite Select TN-MS (HMO)H4624-0431NoNoNo
Zing Essential Wellness Diabetes & Heart IL (HMO C-SNP)H4624-0101NoNoNo
Zing Open Choice Diabetes & Heart IN (PPO C-SNP)H6876-0051NoNoNo
Zing Open Choice Diabetes & Heart MI (PPO C-SNP)H6876-0031NoNoNo
Zing Open Choice Diabetes & Heart TN (PPO C-SNP)H6876-0071NoNoNo
Zing Open Choice IN (PPO)H6876-0041NoNoNo
Zing Open Choice MI (PPO)H6876-0011NoNoNo
Zing Open Choice TN (PPO)H6876-0091NoNoNo
Zing Select Care IN (HMO)H4624-0031NoNoNo
Zing Select Care MI (HMO)H4624-0061NoNoNo
Zing Select Care OH (HMO)H4624-0381NoNoNo
Zing Select Care TN-MS (HMO)H4624-0441NoNoNo
Zing Select Diabetes & Heart Complete IL (HMO C-SNP)H4624-0271NoNoNo
Zing Select Diabetes & Heart IN (HMO C-SNP)H4624-0111NoNoNo
Zing Select Diabetes & Heart MI (HMO C-SNP)H4624-0121NoNoNo
Zing Select Diabetes & Heart OH (HMO C-SNP)H4624-0341NoNoNo
Zing Select Diabetes & Heart TN-MS (HMO C-SNP)H4624-0401NoNoNo
Zing Select Dialysis IL (HMO C-SNP)H4624-0291NoNoNo
Zing Select Dialysis IN (HMO C-SNP)H4624-0251NoNoNo
Zing Select Dialysis MI (HMO C-SNP)H4624-0231NoNoNo
Zing Select Dialysis OH (HMO C-SNP)H4624-0361NoNoNo
Zing Select Dialysis TN-MS (HMO C-SNP)H4624-0421NoNoNo
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.

Quadracel at other payers

Or see Quadracel 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.