Does HMO Colorado, INC. require prior authorization for Premarin?
Prior authorization for Premarin differs across HMO Colorado, INC.'s Medicare Part D plans and product strengths — 6 of 6 Premarin 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.
By product strength
| RxNorm product | Plans covering | Require prior auth | Step therapy | Qty limit | Status |
|---|---|---|---|---|---|
| estrogens, conjugated (USP) 0.625 MG Oral Tablet [Premarin]150840 | 10 / 10 | 10 | 0 | 0 | Prior authorization required |
| estrogens, conjugated (USP) 1.25 MG Oral Tablet [Premarin]202301 | 10 / 10 | 10 | 0 | 0 | Prior authorization required |
| estrogens, conjugated (USP) 0.3 MG Oral Tablet [Premarin]208513 | 10 / 10 | 10 | 0 | 0 | Prior authorization required |
| estrogens, conjugated (USP) 0.9 MG Oral Tablet [Premarin]208949 | 10 / 10 | 10 | 0 | 0 | Prior authorization required |
| estrogens, conjugated (USP) 0.45 MG Oral Tablet [Premarin]404550 | 10 / 10 | 10 | 0 | 0 | Prior authorization required |
| estrogens, conjugated (USP) 0.625 MG/ML Vaginal Cream [Premarin]688242 | 10 / 10 | 0 | 0 | 0 | No prior authorization |
Product names come from RxNorm (U.S. National Library of Medicine).
Plan-by-plan detail — estrogens, conjugated (USP) 0.625 MG Oral Tablet [Premarin]
Premarin has 6 products in the corpus; this table is for estrogens, conjugated (USP) 0.625 MG Oral Tablet [Premarin], the one carried on the most plans. The product table above covers every strength.
| Plan | Contract | Tier | Prior auth | Step therapy | Qty limit |
|---|---|---|---|---|---|
| Anthem Dual Advantage (HMO D-SNP) | H4346-014 | 3 | Yes | No | No |
| Anthem Full Dual Advantage (HMO D-SNP) | H4346-025 | 3 | Yes | No | No |
| Anthem Full Dual Advantage 2 (HMO D-SNP) | H4346-031 | 3 | Yes | No | No |
| Anthem I CareMore Chronic Care (HMO-POS C-SNP) | H4346-006 | 3 | Yes | No | No |
| Anthem I CareMore Home Care (HMO I-SNP) | H4346-010 | 3 | Yes | No | No |
| Anthem I CareMore Kidney Care (HMO-POS C-SNP) | H4346-030 | 3 | Yes | No | No |
| Anthem I CareMore Lung Care (HMO-POS C-SNP) | H4346-005 | 3 | Yes | No | No |
| Anthem I CareMore Medicare Advantage (HMO-POS) | H4346-001 | 3 | Yes | No | No |
| Anthem Medicare Advantage (HMO-POS) | H4346-017 | 3 | Yes | No | No |
| Anthem Medicare Advantage (HMO) | H4346-012 | 3 | Yes | No | No |
- Effective
- 2026-06-30
- Retrieved
- 2026-07-19
- SHA-256
- e626e6bcda1aa6a0071e6f0df6bafe686ae41842cdf0a9feffdc649b6d3ff3ae
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Premarin 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.