Benefily
No prior authorization

Does Cariten Health Plan INC. require prior authorization for Bicillin L-A?

Cariten Health Plan INC. 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]73156644 / 44000No prior authorization
2 ML penicillin G benzathine 600000 UNT/ML Prefilled Syringe [Bicillin L-A]73156844 / 44000No prior authorization
4 ML penicillin G benzathine 600000 UNT/ML Prefilled Syringe [Bicillin L-A]73157144 / 44000No 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
Humana Community (HMO-POS)H4461-0484NoNoNo
Humana Dual Select H4461-077 (HMO D-SNP)H4461-0774NoNoNo
Humana Essentials Plus Giveback H4461-039 (HMO)H4461-0394NoNoNo
Humana Essentials Plus Giveback H4461-045 (HMO)H4461-0454NoNoNo
Humana Gold Plus - Diabetes and Heart (HMO C-SNP)H4461-0424NoNoNo
Humana Gold Plus - Diabetes and Heart (HMO C-SNP)H4461-0634NoNoNo
Humana Gold Plus - Diabetes and Heart (HMO C-SNP)H4461-0654NoNoNo
Humana Gold Plus - Diabetes and Heart (HMO C-SNP)H4461-0664NoNoNo
Humana Gold Plus - Diabetes and Heart (HMO C-SNP)H4461-0674NoNoNo
Humana Gold Plus - Diabetes and Heart (HMO C-SNP)H4461-0684NoNoNo
Humana Gold Plus H4461-025 (HMO)H4461-0254NoNoNo
Humana Gold Plus H4461-035 (HMO)H4461-0354NoNoNo
Humana Gold Plus H4461-040 (HMO)H4461-0404NoNoNo
Humana Gold Plus H4461-041 (HMO)H4461-0414NoNoNo
Humana Gold Plus H4461-050 (HMO)H4461-0504NoNoNo
Humana Gold Plus H4461-052 (HMO)H4461-0524NoNoNo
Humana Gold Plus H4461-053 (HMO)H4461-0534NoNoNo
Humana Gold Plus H4461-054 (HMO)H4461-0544NoNoNo
Humana Gold Plus H4461-055 (HMO)H4461-0554NoNoNo
Humana Gold Plus H4461-056 (HMO)H4461-0564NoNoNo
Humana Gold Plus H4461-057 (HMO)H4461-0574NoNoNo
Humana Gold Plus H4461-058 (HMO)H4461-0584NoNoNo
Humana Gold Plus H4461-059 (HMO)H4461-0594NoNoNo
Humana Gold Plus H4461-060 (HMO)H4461-0604NoNoNo
Humana Gold Plus H4461-061 (HMO)H4461-0614NoNoNo
Humana Gold Plus H4461-062 (HMO)H4461-0624NoNoNo
Humana Gold Plus H4461-073 (HMO)H4461-0734NoNoNo
Humana Gold Plus H4461-078 (HMO)H4461-0784NoNoNo
Humana Gold Plus H4461-079 (HMO)H4461-0794NoNoNo
Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP)H4461-0384NoNoNo
Humana Gold Plus SNP-DE H4461-044 (HMO-POS D-SNP)H4461-0444NoNoNo
Humana Gold Plus SNP-DE H4461-069 (HMO D-SNP)H4461-0694NoNoNo
Humana Gold Plus SNP-DE H4461-070 (HMO D-SNP)H4461-0704NoNoNo
Humana Gold Plus SNP-DE H4461-071 (HMO D-SNP)H4461-0714NoNoNo
Humana Gold Plus SNP-DE H4461-072 (HMO D-SNP)H4461-0724NoNoNo
Humana Gold Plus SNP-DE H4461-074 (HMO D-SNP)H4461-0744NoNoNo
Humana Gold Plus SNP-DE H4461-076 (HMO D-SNP)H4461-0764NoNoNo
Humana Total Complete Giveback H4461-047 (HMO-POS)H4461-0474NoNoNo
Humana Total Complete H4461-043 (HMO)H4461-0434NoNoNo
Humana Total Complete H4461-043 (HMO)H4461-0434NoNoNo
Humana Total Complete H4461-046 (HMO)H4461-0464NoNoNo
Humana Total Complete H4461-049 (HMO)H4461-0494NoNoNo
Humana Total Complete H4461-051 (HMO)H4461-0514NoNoNo
Humana Total Complete H4461-064 (HMO)H4461-0644NoNoNo
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.