Utah
National Cabenuva Coverage
The information listed here is subject to change. Please confirm with your insurance provider for information regarding your specific group coverage and updates.
Prior authorization required.
Medicare (traditional, without Medicaid): 20% coinsurance
Medicare Advantage: Varies by plan (see medications list for “outpatient/Part B” drugs)
Part B: Covered, varies by plan (PA may or may not be required)
Part D: Varies by plan
Private / Commercial Coverage
Coverage information is intended to provide guidance in interpreting certain standard benefit plans administered by the companies listed below.
Private/Commercial insurance plans may provide coverage. Check the terms of a customer’s particular benefit plan document [Group Service Agreement, Evidence of Coverage, Certificate of Coverage, Summary Plan Description (SPD) or similar plan document] as they may differ significantly from the information below.
Prior authorization required.
Prior authorization required.
Prior authorization required. (Apretude includes preventive care services coverage.)
Benefit coverage for health services is determined by the member-specific benefit plan document and applicable laws that may require coverage for a specific service.
Prior authorization required.
Benefit coverage for health services is determined by the member-specific benefit plan document and applicable laws that may require coverage for a specific service.