2019 Prior Authorization for Medicare Part B Drugs (Non-Oncology )
Providers: For the quickest turnaround on prior authorizations, use Availity. You can find the login link and instructions in the "Using Availity" section of our Providers page.
Members: Usually, your provider handles prior authorization requests for you, but you can ask for one yourself. Learn how to ask for a prior authorization.
The drugs listed below require prior authorization. We give the generic name first, followed by the brand name in italics, so it's Generic Name (Brand Name).
C-1 esterase inhibitor, human (Berinert)
C-1 esterase inhibitor, human (Cinryze)
Certolizumab pegol (Cimzia)
Darbepoetin alfa for ESRD (Aranesp for ESRD)
Epoprostenol sodium (Flolan, Veletri)
Golimumab (Simponi Aria)
Hyaluronate sodium (Orthovisc)
Hyaluronate sodium, stabilized (Monovisc)
Hylan G-F 20 (Synvisc, Synvisc-One)
Iloprost tromethamine (Ventavis)
Immune Glublin SC (Hizentra)
Interferon beta-1a, IM (Avonex)
Interferon beta-1a, SC (Avonex)
Octreotide acetate depot (Sandostatin LAR Depot)
Onabotulinum toxin A (Botox)
Treprostinil sodium (Remodulin)