No prior authorization
Does Blue Cross Blue Shield (affiliate) require prior authorization for Bicillin L-A?
Blue Cross Blue Shield (affiliate) 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 product | Plans covering | Require prior auth | Step therapy | Qty limit | Status |
|---|---|---|---|---|---|
| 1 ML penicillin G benzathine 600000 UNT/ML Prefilled Syringe [Bicillin L-A]731566 | 254 / 269 | 0 | 0 | 0 | No prior authorization |
| 2 ML penicillin G benzathine 600000 UNT/ML Prefilled Syringe [Bicillin L-A]731568 | 158 / 269 | 0 | 0 | 0 | No prior authorization |
| 4 ML penicillin G benzathine 600000 UNT/ML Prefilled Syringe [Bicillin L-A]731571 | 158 / 269 | 0 | 0 | 0 | No 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.
| Plan | Contract | Tier | Prior auth | Step therapy | Qty limit |
|---|---|---|---|---|---|
| Anthem Dual Advantage (HMO D-SNP) | H5422-018 | 4 | No | No | No |
| Anthem Extra Help (HMO-POS) | H5422-013 | 4 | No | No | No |
| Anthem Full Dual Advantage (HMO D-SNP) | H5422-019 | 4 | No | No | No |
| Anthem Full Dual Advantage Aligned (HMO D-SNP) | H4471-010 | 4 | No | No | No |
| Anthem Full Dual Advantage Aligned (HMO D-SNP) | H4471-010 | 4 | No | No | No |
| Anthem Full Dual Advantage Aligned (HMO D-SNP) | H4471-011 | 4 | No | No | No |
| Anthem Kidney Care (HMO-POS C-SNP) | H5422-015 | 4 | No | No | No |
| Anthem Medicare Advantage (HMO-POS) | H0544-056 | 4 | No | No | No |
| Anthem Medicare Advantage (HMO-POS) | H0544-061 | 4 | No | No | No |
| Anthem Medicare Advantage (HMO-POS) | H0544-062 | 4 | No | No | No |
| Anthem Medicare Advantage (HMO-POS) | H0544-063 | 4 | No | No | No |
| Anthem Medicare Advantage (HMO-POS) | H0544-064 | 4 | No | No | No |
| Anthem Medicare Advantage (HMO-POS) | H0544-065 | 4 | No | No | No |
| Anthem Medicare Advantage (HMO-POS) | H0544-095 | 4 | No | No | No |
| Anthem Medicare Advantage (HMO-POS) | H0544-096 | 4 | No | No | No |
| Anthem Medicare Advantage (HMO-POS) | H0544-108 | 4 | No | No | No |
| Anthem Medicare Advantage (HMO-POS) | H5422-011 | 4 | No | No | No |
| Anthem Prime (HMO-POS) | H4161-002 | 4 | No | No | No |
| Anthem Prime (HMO-POS) | H4161-003 | 4 | No | No | No |
| Anthem Prime (HMO-POS) | H4161-004 | 4 | No | No | No |
| Anthem Prime (HMO-POS) | H4161-005 | 4 | No | No | No |
| Anthem Prime (HMO-POS) | H4161-006 | 4 | No | No | No |
| Anthem Prime (HMO-POS) | H4161-007 | 4 | No | No | No |
| Anthem Prime (HMO-POS) | H4161-009 | 4 | No | No | No |
| Anthem Prime (HMO-POS) | H4161-010 | 4 | No | No | No |
| Anthem Select (HMO-POS) | H0544-058 | 4 | No | No | No |
| Anthem Select (HMO-POS) | H0544-066 | 4 | No | No | No |
| Anthem Select (HMO-POS) | H0544-069 | 4 | No | No | No |
| Anthem Select (HMO-POS) | H0544-091 | 4 | No | No | No |
| Anthem Select (HMO-POS) | H0544-098 | 4 | No | No | No |
| Blue Advantage Choice (PPO) | H0104-016 | 4 | No | No | No |
| Blue Advantage Complete (PPO) | H0104-012 | 4 | No | No | No |
| Blue Advantage Complete (PPO) | H0104-014 | 4 | No | No | No |
| Blue Advantage Premier (PPO) | H0104-015 | 4 | No | No | No |
| Blue Cross Medicare Advantage Choice (PPO) | H5959-009 | 4 | No | No | No |
| Blue Cross Medicare Advantage Choice (PPO) | H5959-014 | 4 | No | No | No |
| Blue Cross Medicare Advantage Choice (PPO) | H5959-014 | 4 | No | No | No |
| Blue Cross Medicare Advantage Comfort (PPO) | H5959-015 | 4 | No | No | No |
| Blue Cross Medicare Advantage Comfort (PPO) | H5959-016 | 4 | No | No | No |
| Blue Cross Medicare Advantage Complete (PPO) | H5959-010 | 4 | No | No | No |
| Blue Cross Medicare Advantage Complete (PPO) | H5959-010 | 4 | No | No | No |
| Blue Cross Medicare Advantage Complete (PPO) | H5959-011 | 4 | No | No | No |
| Blue Cross Medicare Advantage Core (PPO) | H5959-012 | 4 | No | No | No |
| Blue Cross Medicare Advantage Core (PPO) | H5959-013 | 4 | No | No | No |
| Blue Cross Medicare Advantage Core (PPO) | H5959-013 | 4 | No | No | No |
| Blue Cross Medicare Advantage Secure (HMO) | H8547-001 | 4 | No | No | No |
| Blue Medicare Advantage Classic PPO (PPO) | H5900-008 | 4 | No | No | No |
| Blue Medicare Advantage Enhanced PPO (PPO) | H5900-004 | 4 | No | No | No |
| Blue Medicare Advantage PPO (PPO) | H5900-001 | 4 | No | No | No |
| Blue Medicare Choice (HMO) | H3449-026 | 4 | No | No | No |
| Blue Medicare Enhanced (HMO-POS) | H3449-024 | 4 | No | No | No |
| Blue Medicare Enhanced (HMO-POS) | H3449-024 | 4 | No | No | No |
| Blue Medicare Enhanced (HMO-POS) | H3449-024 | 4 | No | No | No |
| Blue Medicare Essential (HMO) | H3449-027 | 4 | No | No | No |
| Blue Medicare Essential (HMO) | H3449-027 | 4 | No | No | No |
| Blue Medicare Essential Plus (HMO-POS) | H3449-023 | 4 | No | No | No |
| Blue Medicare Essential Plus (HMO-POS) | H3449-023 | 4 | No | No | No |
| Blue Medicare Essential Plus (HMO-POS) | H3449-023 | 4 | No | No | No |
| Blue Medicare Essential Plus (HMO-POS) | H3449-023 | 4 | No | No | No |
| Blue Medicare PPO Enhanced (PPO) | H3404-003 | 4 | No | No | No |
| Blue Medicare PPO Enhanced (PPO) | H3404-003 | 4 | No | No | No |
| Blue Medicare Rx Enhanced (PDP) | S5540-004 | 4 | No | No | No |
| Blue Medicare Rx Standard (PDP) | S5540-002 | 4 | No | No | No |
| Blue MedicareRx Essentials (PDP) | S5726-020 | 4 | No | No | No |
| Blue MedicareRx Plus (PDP) | S5726-014 | 4 | No | No | No |
| Blue MedicareRx Value (PDP) | S5726-013 | 4 | No | No | No |
| BlueCHiP for Medicare Access (HMO-POS) | H4152-022 | 4 | No | No | No |
| BlueCHiP for Medicare Enhanced (HMO-POS) | H4152-013 | 4 | No | No | No |
| BlueCHiP for Medicare Essential (HMO-POS) | H4152-023 | 4 | No | No | No |
| BlueCHiP for Medicare Extra (HMO-POS) | H4152-018 | 4 | No | No | No |
| BlueMedicare Complete Rx (PDP) | S5904-002 | 4 | No | No | No |
| BlueMedicare Premier Rx (PDP) | S5904-001 | 4 | No | No | No |
| BlueMedicare Select (PPO) | H5434-002 | 4 | No | No | No |
| BlueMedicare Select (PPO) | H5434-045 | 4 | No | No | No |
| BlueMedicare Value (PPO) | H5434-023 | 4 | No | No | No |
| BlueMedicare Value (PPO) | H5434-024 | 4 | No | No | No |
| BlueMedicare Value (PPO) | H5434-025 | 4 | No | No | No |
| BlueMedicare Value (PPO) | H5434-026 | 4 | No | No | No |
| BlueMedicare Value (PPO) | H5434-030 | 4 | No | No | No |
| BlueMedicare Value (PPO) | H5434-031 | 4 | No | No | No |
| BlueMedicare Value (PPO) | H5434-034 | 4 | No | No | No |
| BlueMedicare Value (PPO) | H5434-035 | 4 | No | No | No |
| BlueMedicare Value (PPO) | H5434-036 | 4 | No | No | No |
| BlueRI for Duals (HMO D-SNP) | H4152-021 | 4 | No | No | No |
| BlueRx Enhanced Plus (PDP) | S1030-001 | 4 | No | No | No |
| BlueRx Essential (PDP) | S1030-006 | 4 | No | No | No |
| CareFirst BlueCross BlueShield Advantage Complete (PPO) | H7379-002 | 4 | No | No | No |
| CareFirst BlueCross BlueShield Advantage DualPrime (HMO D-SNP) | H8854-002 | 4 | No | No | No |
| CareFirst BlueCross BlueShield Advantage Essential (PPO) | H7379-001 | 4 | No | No | No |
| Community Blue Medicare HMO Distinct (HMO) | H3384-070 | 3 | No | No | No |
| Community Blue Medicare HMO Distinct (HMO) | H3384-070 | 3 | No | No | No |
| Community Blue Medicare HMO Distinct (HMO) | H3384-070 | 3 | No | No | No |
| Community Blue Medicare HMO Distinct (HMO) | H3957-049 | 3 | No | No | No |
| Community Blue Medicare HMO Distinct (HMO) | H3957-049 | 3 | No | No | No |
| Community Blue Medicare HMO Distinct (HMO) | H3957-049 | 3 | No | No | No |
| Community Blue Medicare HMO Distinct (HMO) | H3957-049 | 3 | No | No | No |
| Community Blue Medicare HMO Distinct (HMO) | H3957-049 | 3 | No | No | No |
| Community Blue Medicare HMO Distinct (HMO) | H3957-049 | 3 | No | No | No |
| Community Blue Medicare HMO Distinct (HMO) | H3957-049 | 3 | No | No | No |
| Community Blue Medicare HMO Merit (HMO) | H3384-071 | 3 | No | No | No |
Showing 100 of 254 covering plans.
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
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.