Prior authorization required

Does Freedom Health, INC. require prior authorization for Retacrit?

Freedom Health, INC. requires prior authorization for Retacrit on every Medicare Part D plan of theirs that covers it.

Every plan from this payer that covers the drug requires authorization before it is dispensed.

By product strength

RxNorm product	Plans covering	Require prior auth	Qty limit	Status
1 ML epoetin alfa-epbx 10000 UNT/ML Injection [Retacrit]2047596	24 / 24	24	24	Prior authorization required
1 ML epoetin alfa-epbx 2000 UNT/ML Injection [Retacrit]2047602	24 / 24	24	24	Prior authorization required
1 ML epoetin alfa-epbx 3000 UNT/ML Injection [Retacrit]2047608	24 / 24	24	24	Prior authorization required
1 ML epoetin alfa-epbx 4000 UNT/ML Injection [Retacrit]2047614	24 / 24	24	24	Prior authorization required
1 ML epoetin alfa-epbx 40000 UNT/ML Injection [Retacrit]2047623	24 / 24	24	24	Prior authorization required
epoetin alfa-epbx 10000 UNT/ML Injectable Solution [Retacrit]2463733	24 / 24	24	24	Prior authorization required
epoetin alfa-epbx 20000 UNT/ML Injectable Solution [Retacrit]2463737	24 / 24	24	24	Prior authorization required

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

Plan-by-plan detail — 1 ML epoetin alfa-epbx 10000 UNT/ML Injection [Retacrit]

Retacrit has 7 products in the corpus; this table is for 1 ML epoetin alfa-epbx 10000 UNT/ML Injection [Retacrit], the one carried on the most plans. The product table above covers every strength.

Plan	Contract	Tier	Prior auth	Step therapy	Qty limit
Freedom Medi-Medi Full (HMO D-SNP)	H5427-087	2	Yes	No	Yes
Freedom Medi-Medi Partial (HMO D-SNP)	H5427-078	2	Yes	No	Yes
Freedom Medicare Plan Rx (HMO)	H5427-059	2	Yes	No	Yes
Freedom Medicare Plan Rx (HMO)	H5427-060	2	Yes	No	Yes
Freedom M�ximo (HMO-POS)	H5427-112	2	Yes	No	Yes
Freedom M�ximo (HMO-POS)	H5427-113	2	Yes	No	Yes
Freedom Platinum Plan Rx (HMO)	H5427-088	2	Yes	No	Yes
Freedom Platinum Plan Rx (HMO)	H5427-089	2	Yes	No	Yes
Freedom Platinum Plan Rx (HMO)	H5427-091	2	Yes	No	Yes
Freedom Platinum Plan Rx (HMO)	H5427-093	2	Yes	No	Yes
Freedom Platinum Plan Rx (HMO)	H5427-094	2	Yes	No	Yes
Freedom Platinum Rewards Plan Rx (HMO)	H5427-096	2	Yes	No	Yes
Freedom Platinum Rewards Plan Rx (HMO)	H5427-102	2	Yes	No	Yes
Freedom Platinum Rewards Plan Rx (HMO)	H5427-103	2	Yes	No	Yes
Freedom Platinum Rewards Plan Rx (HMO)	H5427-105	2	Yes	No	Yes
Freedom Platinum Rewards Plan Rx (HMO)	H5427-106	2	Yes	No	Yes
Freedom Platinum Rewards Plan Rx (HMO)	H5427-107	2	Yes	No	Yes
Freedom VIP Care (HMO C-SNP)	H5427-070	2	Yes	No	Yes
Freedom VIP Rewards (HMO C-SNP)	H5427-099	2	Yes	No	Yes
Freedom VIP Rewards (HMO C-SNP)	H5427-108	2	Yes	No	Yes
Freedom VIP Savings (HMO C-SNP)	H5427-072	2	Yes	No	Yes
Freedom VIP Savings (HMO C-SNP)	H5427-082	2	Yes	No	Yes
Freedom VIP Savings COPD (HMO C-SNP)	H5427-077	2	Yes	No	Yes
Freedom VIP Savings COPD (HMO C-SNP)	H5427-083	2	Yes	No	Yes

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.

Retacrit at other payers

Or see Retacrit 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.