Varies by plan

Does Florida Blue Medicare, INC. require prior authorization for Eligard?

Prior authorization for Eligard differs across Florida Blue Medicare, INC.'s Medicare Part D plans and product strengths — 4 of 4 Eligard products in the corpus appear on their formularies, and the requirement is not uniform. Check the member's specific plan.

Some plans require authorization and others do not. The member's specific plan decides.

Prior authorization requirements differ across this payer's plans: 13 of 15 covering plans require it. Check the specific plan the member is enrolled in — the plan name and contract number are on their insurance card.

By product strength

RxNorm product	Plans covering	Require prior auth	Qty limit	Status
0.375 ML leuprolide acetate 120 MG/ML Prefilled Syringe [Eligard]825325	13 / 15	13	13	Prior authorization required
0.5 ML leuprolide acetate 60 MG/ML Prefilled Syringe [Eligard]825333	13 / 15	13	13	Prior authorization required
0.25 ML leuprolide acetate 30 MG/ML Prefilled Syringe [Eligard]825334	15 / 15	13	13	Varies by plan
0.375 ML leuprolide acetate 60 MG/ML Prefilled Syringe [Eligard]825335	15 / 15	13	13	Varies by plan

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

Plan-by-plan detail — 0.25 ML leuprolide acetate 30 MG/ML Prefilled Syringe [Eligard]

Eligard has 4 products in the corpus; this table is for 0.25 ML leuprolide acetate 30 MG/ML Prefilled Syringe [Eligard], the one carried on the most plans. The product table above covers every strength.

Plan	Contract	Tier	Prior auth	Step therapy	Qty limit
BlueMedicare Classic (HMO)	H1035-017	4	Yes	No	Yes
BlueMedicare Classic (HMO)	H1035-019	4	Yes	No	Yes
BlueMedicare Classic (HMO)	H1035-020	4	Yes	No	Yes
BlueMedicare Classic (HMO)	H1035-021	4	Yes	No	Yes
BlueMedicare Preferred (HMO)	H1035-052	4	Yes	No	Yes
BlueMedicare Premier (HMO)	H1035-022	4	Yes	No	Yes
BlueMedicare Premier (HMO)	H1035-025	4	Yes	No	Yes
BlueMedicare Premier (HMO)	H1035-026	4	Yes	No	Yes
BlueMedicare Premier (HMO)	H1035-033	4	Yes	No	Yes
BlueMedicare Premier (HMO)	H1035-034	4	Yes	No	Yes
BlueMedicare Premier (HMO)	H1035-043	4	Yes	No	Yes
BlueMedicare Premier (HMO)	H1035-045	4	Yes	No	Yes
BlueMedicare Premier (HMO)	H1035-048	4	Yes	No	Yes
FHCP Medicare Classic (HMO)	H1035-040	3	No	No	No
FHCP Medicare Rx Plus (HMO-POS)	H1035-002	3	No	No	No

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.

Eligard at other payers

Or see Eligard 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.