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Does Medicare Part D cover Gleostine?

Gleostine appears on the Medicare Part D formularies of 128 payers in the corpus, across 3,803 plans. 11 payers require prior authorization on every covering plan, 0 on some plans, and 117 on none.

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
Humana81781700Prior authorization required
UnitedHealthcare731000No prior authorization
Aetna (CVS Health)653000No prior authorization
Devoted Health415000No prior authorization
Cigna171000No prior authorization
SCAN Health Plan74000No prior authorization
Medco Containment Life And Medco Containment Ny60000No prior authorization
Molina Healthcare51000No prior authorization
Blue Cross Blue Shield (affiliate)45000No prior authorization
Cariten Health Plan INC.444400Prior authorization required
Uhc Of California40000No prior authorization
Careplus Health Plans, INC.363600Prior authorization required
Bravo Health Pennsylvania, INC.35000No prior authorization
Preferred Care Partners, INC.35000No prior authorization
Zing Health Of Michigan, INC.33000No prior authorization
Triple S Advantage, INC.222200Prior authorization required
Physicians Health Choice Of Texas, LLC22000No prior authorization
Tufts Associated Health Maintenance Organization21000No prior authorization
Mcs Advantage, INC.20000No prior authorization
Medica Health Plans17000No prior authorization
Bluecross Blueshield Of Tennessee, INC.17000No prior authorization
Ultimate Health Plans, INC.16000No prior authorization
Excellus Health Plan, INC.16000No prior authorization
Medical Mutual Of Ohio16000No prior authorization
Central Health Plan Of California, INC.15000No prior authorization
Blue Care Network Of Michigan15000No prior authorization
Peoples Health, INC.13000No prior authorization
Clover Health13000No prior authorization
HMO Louisiana, INC.12000No prior authorization
Mount Carmel Health Plan, INC.11000No prior authorization
Sanford Health Plan9000No prior authorization
Allina Health And Aetna Insurance Company9000No prior authorization
Mvp Health Plan, INC.8000No prior authorization
Keystone Health Plan East, INC.8800Prior authorization required
Fallon Community Health Plan8000No prior authorization
Health Partners Plans, INC.8800Prior authorization required
Viva Health, INC.7000No prior authorization
Martin'S Point Generations Advantage, INC.7000No prior authorization
Bravo Health Mid-Atlantic, INC.7000No prior authorization
Medica Insurance Company7000No prior authorization
Essence Healthcare PPO, INC.7000No prior authorization
Bluecross And Blueshield Of South Carolina7000No prior authorization
Christus Health Plan6000No prior authorization
Essence Healthcare, INC.6000No prior authorization
Hometown Health Plan, INC.6000No prior authorization
Elderplan, INC.6000No prior authorization
Connecticare, INC.6000No prior authorization
Preferred Care Network, INC.6000No prior authorization
Hopkins Health Advantage, INC.5000No prior authorization
Usable Mutual Insurance Company5000No prior authorization
Hpmp Of Florida, INC.5000No prior authorization
Care N' Care Insurance Company Of North Carolina4000No prior authorization
Health New England, INC.4000No prior authorization
The Health Plan Of West Virginia, INC.4000No prior authorization
Hawaii Medical Service Association4000No prior authorization
Qcc Insurance Company4400Prior authorization required
Leon Health, INC.4000No prior authorization
Security Health Plan Of Wisconsin, INC.4000No prior authorization
Sharp Health Plan4000No prior authorization
Boston Medical Center Health Plan, INC.4000No prior authorization
Clever Care Of Golden State, INC.4000No prior authorization
Thp Insurance Company4000No prior authorization
Aspire Health Plan4000No prior authorization
Medisun, INC.3000No prior authorization
Metroplus Health Plan, INC.3000No prior authorization
Louisiana Health Service & Indemnity Company3000No prior authorization
Eternalhealth, INC.3000No prior authorization
Partners Insurance Company INC3300Prior authorization required
Mount Carmel Health Insurance Company3000No prior authorization
Senior Whole Health, LLC3000No prior authorization
Volunteer State Health Plan3000No prior authorization
Capital District Physicians' Health Plan, INC.3000No prior authorization
Eternalhealth Of Arizona INC3000No prior authorization
Paramount Care, INC.3000No prior authorization
Mount Carmel Health Plan Of Idaho, INC.3000No 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
Amerihealth Insurance Company Of New Jersey3300Prior authorization required
Mercy Care3000No prior authorization
Usable HMO, INC.3000No prior authorization
Provider Partners Health Plan Of Missouri, INC.3000No prior authorization
Hamaspik, INC.2000No prior authorization
Arizona Physicians Ipa, INC.2000No prior authorization
Carepartners Of Connecticut, INC.2000No prior authorization
Beshp, INC.2000No prior authorization
Commonwealth Care Alliance, INC.2000No prior authorization
Neighborhood Health Plan Of Rhode Island2000No prior authorization
Partners Insurance Company Of New Jersey INC2200Prior authorization required
Sanford Health Plan Of Minnesota2000No prior authorization
Banner - University Care Advantage2000No prior authorization
Tufts Health Public Plans, INC.2000No prior authorization
Community Health Plan Of Washington2000No prior authorization
Senior Whole Health Of New York, INC.2000No prior authorization
Nextblue Of North Dakota Insurance Company2000No prior authorization
Elderserve Health, INC.2000No prior authorization
Good Samaritan Insurance Plan Of Nebraska, INC.2000No prior authorization
Excellus Health Plan Community Care LLC2000No prior authorization
Group Health Cooperative Of Eau Claire2000No prior authorization
Caresource Georgia CO.2000No prior authorization
Trinity Health Plan Of Michigan INC2000No prior authorization
Wyoblue Advantage INC2000No prior authorization
Mount Carmel Health Plan Of New York, INC.2000No prior authorization
Longevity Health Plan Of New Jersey Insurance Comp2000No prior authorization
Elevance Health (Anthem)2000No prior authorization
Longevity Health Plan Of Colorado, INC.1000No prior authorization
Johns Hopkins Health Plan Of Virginia, INC.1000No prior authorization
Longevity Health Plan Of Florida, INC.1000No prior authorization
Independent Care Health Plan1100Prior authorization required
Itasca Medical Care1000No prior authorization
Upper Peninsula Health Plan, LLC1000No prior authorization
Connecticare Insurance Company, INC.1000No 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
Hap Caresource1000No prior authorization
Paramount Insurance Company1000No prior authorization
Longevity Health Plan Of North Carolina, INC.1000No prior authorization
Health Choice Arizona, INC.1000No prior authorization
Banner Health Plan, INC.1000No prior authorization
Alohacare1000No prior authorization
Caresource Ohio, INC.1000No prior authorization
Provider Partners Health Plan Of Kentucky1000No prior authorization
Longevity Health Plan Of Michigan, INC.1000No prior authorization
Longevity Health Plan Of New York, INC.1000No prior authorization
Hawaii Medical Service Association (Hmsa)1000No prior authorization
Longevity Health Plan Of Illinois, INC.1000No prior authorization
Healthfirst Insurance Company, INC.1000No prior authorization

“Require prior auth”, “step therapy” and “quantity limit” each count a plan when any Gleostine 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.