Benefily
No prior authorization

Does American Progressive Life & Hlth Ins Company Of Ny require prior authorization for Bicillin L-A?

American Progressive Life & Hlth Ins Company Of Ny does not require prior authorization for Bicillin L-A 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
1 ML penicillin G benzathine 600000 UNT/ML Prefilled Syringe [Bicillin L-A]7315668 / 8000No prior authorization
2 ML penicillin G benzathine 600000 UNT/ML Prefilled Syringe [Bicillin L-A]7315688 / 8000No prior authorization
4 ML penicillin G benzathine 600000 UNT/ML Prefilled Syringe [Bicillin L-A]7315718 / 8000No prior authorization

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

Plan-by-plan detail — 1 ML penicillin G benzathine 600000 UNT/ML Prefilled Syringe [Bicillin L-A]

Bicillin L-A has 3 products in the corpus; this table is for 1 ML penicillin G benzathine 600000 UNT/ML Prefilled Syringe [Bicillin L-A], the one carried on the most plans. The product table above covers every strength.

PlanContractTierPrior authStep therapyQty limit
Wellcare Assist Open (PPO)H2775-1134NoNoNo
Wellcare Dual Access Open (PPO D-SNP)H2775-1124NoNoNo
Wellcare Dual Access Open (PPO D-SNP)H2775-1154NoNoNo
Wellcare Giveback Open (PPO)H2775-1114NoNoNo
Wellcare Low Premium Open (PPO)H2775-1094NoNoNo
Wellcare Premium Enhanced (PFFS)H2816-0194NoNoNo
Wellcare Premium Ultra (PFFS)H2816-0134NoNoNo
Wellcare Simple Open (PPO)H2775-1064NoNoNo
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.

Bicillin L-A at other payers

Or see Bicillin L-A 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.