Does Geisinger Health Plan require prior authorization for Eligard?
Geisinger Health Plan does not require prior authorization for Eligard 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 |
|---|---|---|---|---|---|
| 0.375 ML leuprolide acetate 120 MG/ML Prefilled Syringe [Eligard]825325 | 9 / 9 | 0 | 0 | 9 | No prior authorization |
| 0.5 ML leuprolide acetate 60 MG/ML Prefilled Syringe [Eligard]825333 | 9 / 9 | 0 | 0 | 9 | No prior authorization |
| 0.25 ML leuprolide acetate 30 MG/ML Prefilled Syringe [Eligard]825334 | 9 / 9 | 0 | 0 | 9 | No prior authorization |
| 0.375 ML leuprolide acetate 60 MG/ML Prefilled Syringe [Eligard]825335 | 9 / 9 | 0 | 0 | 9 | No prior authorization |
Product names come from RxNorm (U.S. National Library of Medicine).
Plan-by-plan detail — 0.375 ML leuprolide acetate 120 MG/ML Prefilled Syringe [Eligard]
Eligard has 4 products in the corpus; this table is for 0.375 ML leuprolide acetate 120 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 |
|---|---|---|---|---|---|
| Geisinger Gold Classic 360 Rx (HMO) | H3954-160 | 4 | No | No | Yes |
| Geisinger Gold Classic Advantage Rx (HMO) | H3954-157 | 4 | No | No | Yes |
| Geisinger Gold Classic Advantage Rx (HMO) | H3954-157 | 4 | No | No | Yes |
| Geisinger Gold Classic Advantage Rx (HMO) | H3954-157 | 4 | No | No | Yes |
| Geisinger Gold Classic Complete Rx (HMO) | H3954-158 | 4 | No | No | Yes |
| Geisinger Gold Classic Complete Rx (HMO) | H3954-158 | 4 | No | No | Yes |
| Geisinger Gold Classic Essential Rx (HMO) | H3954-161 | 4 | No | No | Yes |
| Geisinger Gold Secure Rx (HMO D-SNP) | H3954-097 | 4 | No | No | Yes |
| Geisinger Gold Value Rx (HMO) | H3954-163 | 4 | No | No | Yes |
- Effective
- 2026-06-30
- Retrieved
- 2026-07-19
- SHA-256
- e626e6bcda1aa6a0071e6f0df6bafe686ae41842cdf0a9feffdc649b6d3ff3ae
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Eligard 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.