Benefily
No prior authorization

Does Clover Health require prior authorization for Bicillin L-A?

Clover Health 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]73156613 / 13000No prior authorization
2 ML penicillin G benzathine 600000 UNT/ML Prefilled Syringe [Bicillin L-A]73156813 / 13000No prior authorization
4 ML penicillin G benzathine 600000 UNT/ML Prefilled Syringe [Bicillin L-A]73157113 / 13000No 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
Clover Health Choice (PPO)H5141-0044NoNoNo
Clover Health Choice (PPO)H5141-0254NoNoNo
Clover Health Choice (PPO)H5141-0324NoNoNo
Clover Health Choice (PPO)H5141-0384NoNoNo
Clover Health Choice Giveback (PPO)H5141-0544NoNoNo
Clover Health Choice Value (PPO)H5141-0074NoNoNo
Clover Health Choice Value (PPO)H5141-0424NoNoNo
Clover Health Classic (HMO)H8010-0024NoNoNo
Clover Health LiveHealthy (PPO)H5141-0264NoNoNo
Clover Health LiveHealthy (PPO)H5141-0364NoNoNo
Clover Health LiveHealthy Giveback (PPO)H5141-0634NoNoNo
Clover Health LiveHealthy Value (PPO)H5141-0454NoNoNo
Clover Health Value (HMO)H8010-0034NoNoNo
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.