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Does Medicare Part D cover Fragmin?

Fragmin appears on the Medicare Part D formularies of 44 payers in the corpus, across 870 plans. 0 payers require prior authorization on every covering plan, 0 on some plans, and 44 on none.

Beyond prior authorization: 0 covering plans require step therapy (another drug tried first) and 42 apply a quantity limit, on at least one Fragmin product.

Prior authorization is set per plan, not per payer. Pick a payer below for its full plan-by-plan breakdown, effective 2026-06-30.

Coverage by payer

PayerPlans coveringRequire prior authStep therapyQuantity limitStatus
Aetna (CVS Health)611000No prior authorization
Simply Healthcare Plans, INC.50000No prior authorization
Upmc Health Plan, INC.170017No prior authorization
Ultimate Health Plans, INC.16000No prior authorization
Excellus Health Plan, INC.16000No prior authorization
Healthsun Health Plans, INC.13000No prior authorization
Upmc Health Network, INC.120012No prior authorization
Quartz Health Plan Corporation10000No prior authorization
Sanford Health Plan9000No prior authorization
Allina Health And Aetna Insurance Company9000No prior authorization
Network Health Insurance Corporation8008No prior authorization
Fallon Community Health Plan8000No prior authorization
Mass General Brigham Health Plan, INC6000No prior authorization
Hometown Health Plan, INC.6000No prior authorization
Presbyterian Health Plan6000No prior authorization
Bluecross And Blueshield Of South Carolina6000No prior authorization
Care N' Care Insurance Company Of North Carolina4000No prior authorization
Health New England, INC.4000No prior authorization
Security Health Plan Of Wisconsin, INC.4000No prior authorization
Gateway Health Plan, INC.4000No prior authorization
Quartz Health Plan Mn Corporation4000No prior authorization
Medisun, INC.3000No prior authorization
Eternalhealth, INC.3000No prior authorization
Capital District Physicians' Health Plan, INC.3000No prior authorization
Eternalhealth Of Arizona INC3000No prior authorization
Provider Partners Health Plan Of Pennsylvania, INC3000No prior authorization
Provider Partners Health Plan Of North Carolina3000No prior authorization
Provider Partners Health Plan Of Indiana3000No prior authorization
Blue Cross Blue Shield (affiliate)3000No prior authorization
Provider Partners Health Plan Of Missouri, INC.3000No prior authorization
Ks Plan Administrators, LLC2000No prior authorization
Beshp, INC.2000No prior authorization
Sanford Health Plan Of Minnesota2000No prior authorization
Upmc For You, INC2002No prior authorization
Good Samaritan Insurance Plan Of Nebraska, INC.2000No prior authorization
Excellus Health Plan Community Care LLC2000No prior authorization
Provider Partners Health Plan Of Illinois1000No prior authorization
Samaritan Health Plans, INC.1000No prior authorization
Provider Partners Health Plan Of Texas, INC.1000No prior authorization
Orange County Health Authority1001No prior authorization
Alohacare1000No prior authorization
San Mateo Health Commission1001No prior authorization
Upmc Health Coverage, INC.1001No prior authorization
Provider Partners Health Plan Of Kentucky1000No prior authorization

“Require prior auth”, “step therapy” and “quantity limit” each count a plan when any Fragmin product on its formulary carries that condition.

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.

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.