Benefily
No prior authorization

Does Freedom Health, INC. require prior authorization for Bicillin L-A?

Freedom Health, 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]73156624 / 24000No prior authorization
2 ML penicillin G benzathine 600000 UNT/ML Prefilled Syringe [Bicillin L-A]73156824 / 24000No prior authorization
4 ML penicillin G benzathine 600000 UNT/ML Prefilled Syringe [Bicillin L-A]73157124 / 24000No 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
Freedom Medi-Medi Full (HMO D-SNP)H5427-0873NoNoNo
Freedom Medi-Medi Partial (HMO D-SNP)H5427-0783NoNoNo
Freedom Medicare Plan Rx (HMO)H5427-0593NoNoNo
Freedom Medicare Plan Rx (HMO)H5427-0603NoNoNo
Freedom M�ximo (HMO-POS)H5427-1123NoNoNo
Freedom M�ximo (HMO-POS)H5427-1133NoNoNo
Freedom Platinum Plan Rx (HMO)H5427-0883NoNoNo
Freedom Platinum Plan Rx (HMO)H5427-0893NoNoNo
Freedom Platinum Plan Rx (HMO)H5427-0913NoNoNo
Freedom Platinum Plan Rx (HMO)H5427-0933NoNoNo
Freedom Platinum Plan Rx (HMO)H5427-0943NoNoNo
Freedom Platinum Rewards Plan Rx (HMO)H5427-0963NoNoNo
Freedom Platinum Rewards Plan Rx (HMO)H5427-1023NoNoNo
Freedom Platinum Rewards Plan Rx (HMO)H5427-1033NoNoNo
Freedom Platinum Rewards Plan Rx (HMO)H5427-1053NoNoNo
Freedom Platinum Rewards Plan Rx (HMO)H5427-1063NoNoNo
Freedom Platinum Rewards Plan Rx (HMO)H5427-1073NoNoNo
Freedom VIP Care (HMO C-SNP)H5427-0703NoNoNo
Freedom VIP Rewards (HMO C-SNP)H5427-0993NoNoNo
Freedom VIP Rewards (HMO C-SNP)H5427-1083NoNoNo
Freedom VIP Savings (HMO C-SNP)H5427-0723NoNoNo
Freedom VIP Savings (HMO C-SNP)H5427-0823NoNoNo
Freedom VIP Savings COPD (HMO C-SNP)H5427-0773NoNoNo
Freedom VIP Savings COPD (HMO C-SNP)H5427-0833NoNoNo
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.