No prior authorization
Does Centene (WellCare) require prior authorization for Bicillin L-A?
Centene (WellCare) 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 | 197 / 197 | 0 | 0 | 0 | No prior authorization |
| 2 ML penicillin G benzathine 600000 UNT/ML Prefilled Syringe [Bicillin L-A]731568 | 197 / 197 | 0 | 0 | 0 | No prior authorization |
| 4 ML penicillin G benzathine 600000 UNT/ML Prefilled Syringe [Bicillin L-A]731571 | 197 / 197 | 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 |
|---|---|---|---|---|---|
| Wellcare 'Ohana Dual Align (HMO-POS D-SNP) | H9916-001 | 4 | No | No | No |
| Wellcare Assist (HMO-POS) | H0913-015 | 4 | No | No | No |
| Wellcare Assist (HMO-POS) | H1112-043 | 4 | No | No | No |
| Wellcare Assist (HMO-POS) | H2491-010 | 4 | No | No | No |
| Wellcare Assist (HMO-POS) | H4847-005 | 4 | No | No | No |
| Wellcare Assist (HMO-POS) | H9730-010 | 4 | No | No | No |
| Wellcare Assist (HMO) | H0174-009 | 4 | No | No | No |
| Wellcare Assist Open (PPO) | H1914-009 | 4 | No | No | No |
| Wellcare Assist Open (PPO) | H7326-007 | 4 | No | No | No |
| Wellcare CalViva Health Dual Align (HMO D-SNP) | H3561-007 | 4 | No | No | No |
| Wellcare Classic (PDP) | S4802-012 | 4 | No | No | No |
| Wellcare Classic (PDP) | S4802-013 | 4 | No | No | No |
| Wellcare Classic (PDP) | S4802-014 | 4 | No | No | No |
| Wellcare Classic (PDP) | S4802-020 | 4 | No | No | No |
| Wellcare Classic (PDP) | S4802-021 | 4 | No | No | No |
| Wellcare Classic (PDP) | S4802-069 | 4 | No | No | No |
| Wellcare Classic (PDP) | S4802-070 | 4 | No | No | No |
| Wellcare Classic (PDP) | S4802-071 | 4 | No | No | No |
| Wellcare Classic (PDP) | S4802-072 | 4 | No | No | No |
| Wellcare Classic (PDP) | S4802-073 | 4 | No | No | No |
| Wellcare Classic (PDP) | S4802-074 | 4 | No | No | No |
| Wellcare Classic (PDP) | S4802-075 | 4 | No | No | No |
| Wellcare Classic (PDP) | S4802-076 | 4 | No | No | No |
| Wellcare Classic (PDP) | S4802-077 | 4 | No | No | No |
| Wellcare Classic (PDP) | S4802-078 | 4 | No | No | No |
| Wellcare Classic (PDP) | S4802-079 | 4 | No | No | No |
| Wellcare Classic (PDP) | S4802-080 | 4 | No | No | No |
| Wellcare Classic (PDP) | S4802-081 | 4 | No | No | No |
| Wellcare Classic (PDP) | S4802-082 | 4 | No | No | No |
| Wellcare Classic (PDP) | S4802-083 | 4 | No | No | No |
| Wellcare Classic (PDP) | S4802-084 | 4 | No | No | No |
| Wellcare Classic (PDP) | S4802-085 | 4 | No | No | No |
| Wellcare Classic (PDP) | S4802-086 | 4 | No | No | No |
| Wellcare Classic (PDP) | S4802-087 | 4 | No | No | No |
| Wellcare Classic (PDP) | S4802-088 | 4 | No | No | No |
| Wellcare Classic (PDP) | S4802-089 | 4 | No | No | No |
| Wellcare Classic (PDP) | S4802-090 | 4 | No | No | No |
| Wellcare Classic (PDP) | S4802-091 | 4 | No | No | No |
| Wellcare Classic (PDP) | S4802-092 | 4 | No | No | No |
| Wellcare Classic (PDP) | S4802-093 | 4 | No | No | No |
| Wellcare Classic (PDP) | S4802-094 | 4 | No | No | No |
| Wellcare Classic (PDP) | S4802-095 | 4 | No | No | No |
| Wellcare Classic (PDP) | S4802-096 | 4 | No | No | No |
| Wellcare Classic (PDP) | S4802-097 | 4 | No | No | No |
| Wellcare Dual Access (HMO D-SNP) | H0174-004 | 4 | No | No | No |
| Wellcare Dual Access (HMO-POS D-SNP) | H0351-066 | 4 | No | No | No |
| Wellcare Dual Access (HMO-POS D-SNP) | H0351-068 | 4 | No | No | No |
| Wellcare Dual Access (HMO-POS D-SNP) | H0712-005 | 4 | No | No | No |
| Wellcare Dual Access (HMO-POS D-SNP) | H1112-006 | 4 | No | No | No |
| Wellcare Dual Access (HMO-POS D-SNP) | H1112-047 | 4 | No | No | No |
| Wellcare Dual Access (HMO-POS D-SNP) | H1862-004 | 4 | No | No | No |
| Wellcare Dual Access (HMO-POS D-SNP) | H2491-033 | 4 | No | No | No |
| Wellcare Dual Access (HMO-POS D-SNP) | H2491-033 | 4 | No | No | No |
| Wellcare Dual Access (HMO-POS D-SNP) | H4073-002 | 4 | No | No | No |
| Wellcare Dual Access (HMO-POS D-SNP) | H9364-002 | 4 | No | No | No |
| Wellcare Dual Access Open (PPO D-SNP) | H0074-004 | 4 | No | No | No |
| Wellcare Dual Access Open (PPO D-SNP) | H0111-004 | 4 | No | No | No |
| Wellcare Dual Access Open (PPO D-SNP) | H4537-004 | 4 | No | No | No |
| Wellcare Dual Access Open (PPO D-SNP) | H5965-006 | 4 | No | No | No |
| Wellcare Dual Access Open (PPO D-SNP) | H7518-003 | 4 | No | No | No |
| Wellcare Dual Access Sync (HMO-POS D-SNP) | H9730-003 | 4 | No | No | No |
| Wellcare Dual Access Sync Open (PPO D-SNP) | H3975-004 | 4 | No | No | No |
| Wellcare Dual Liberty (HMO D-SNP) | H0174-006 | 4 | No | No | No |
| Wellcare Dual Liberty (HMO D-SNP) | H0712-029 | 4 | No | No | No |
| Wellcare Dual Liberty (HMO-POS D-SNP) | H1112-033 | 4 | No | No | No |
| Wellcare Dual Liberty (HMO-POS D-SNP) | H2491-032 | 4 | No | No | No |
| Wellcare Dual Liberty (HMO-POS D-SNP) | H2491-032 | 4 | No | No | No |
| Wellcare Dual Liberty (HMO-POS D-SNP) | H4073-004 | 4 | No | No | No |
| Wellcare Dual Liberty (HMO-POS D-SNP) | H9364-003 | 4 | No | No | No |
| Wellcare Dual Liberty Open (PPO D-SNP) | H1914-008 | 4 | No | No | No |
| Wellcare Dual Liberty Sync (HMO D-SNP) | H0174-023 | 4 | No | No | No |
| Wellcare Dual Liberty Sync (HMO D-SNP) | H0174-024 | 4 | No | No | No |
| Wellcare Dual Liberty Sync (HMO D-SNP) | H0174-025 | 4 | No | No | No |
| Wellcare Dual Liberty Sync (HMO D-SNP) | H0174-026 | 4 | No | No | No |
| Wellcare Dual Liberty Sync (HMO-POS D-SNP) | H1862-003 | 4 | No | No | No |
| Wellcare Dual Liberty Sync (HMO-POS D-SNP) | H9730-004 | 4 | No | No | No |
| Wellcare Dual Liberty Sync Open (PPO D-SNP) | H5965-004 | 4 | No | No | No |
| Wellcare Dual Reserve (HMO D-SNP) | H0174-022 | 4 | No | No | No |
| Wellcare Dual Reserve (HMO-POS D-SNP) | H1112-046 | 4 | No | No | No |
| Wellcare Dual Reserve (HMO-POS D-SNP) | H1112-048 | 4 | No | No | No |
| Wellcare Dual Reserve (HMO-POS D-SNP) | H1862-006 | 4 | No | No | No |
| Wellcare Dual Reserve (HMO-POS D-SNP) | H2491-025 | 4 | No | No | No |
| Wellcare Dual Reserve (HMO-POS D-SNP) | H4073-003 | 4 | No | No | No |
| Wellcare Dual Reserve (HMO-POS D-SNP) | H9730-011 | 4 | No | No | No |
| Wellcare Fidelis Dual Align (HMO D-SNP) | H0913-013 | 4 | No | No | No |
| Wellcare Giveback (HMO-POS) | H0712-032 | 4 | No | No | No |
| Wellcare Giveback (HMO-POS) | H0913-021 | 4 | No | No | No |
| Wellcare Giveback (HMO-POS) | H1112-042 | 4 | No | No | No |
| Wellcare Giveback (HMO-POS) | H2491-031 | 4 | No | No | No |
| Wellcare Giveback (HMO-POS) | H4847-007 | 4 | No | No | No |
| Wellcare Giveback (HMO-POS) | H9364-004 | 4 | No | No | No |
| Wellcare Giveback (HMO-POS) | H9730-007 | 4 | No | No | No |
| Wellcare Giveback (HMO) | H0174-017 | 4 | No | No | No |
| Wellcare Giveback (HMO) | H0174-018 | 4 | No | No | No |
| Wellcare Giveback (HMO) | H0174-019 | 4 | No | No | No |
| Wellcare Giveback (HMO) | H0174-020 | 4 | No | No | No |
| Wellcare Giveback (HMO) | H0174-021 | 4 | No | No | No |
| Wellcare Giveback (HMO) | H0351-054 | 4 | No | No | No |
| Wellcare Giveback (HMO) | H0351-064 | 4 | No | No | No |
| Wellcare Giveback (HMO) | H5087-032 | 4 | No | No | No |
Showing 100 of 197 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.