Does Keystone Health Plan East, INC. require prior authorization for Genotropin?
Prior authorization for Genotropin differs across Keystone Health Plan East, INC.'s Medicare Part D plans and product strengths — 2 of 12 Genotropin 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.
- This drug does not appear on any of this payer's Medicare Part D formularies. That means it is NOT COVERED under those plans — which is a different and generally worse outcome than requiring prior authorization. An exception or formulary-exception request may still be possible.
By product strength
| RxNorm product | Plans covering | Require prior auth | Status |
|---|---|---|---|
| 0.25 ML somatropin 0.8 MG/ML Prefilled Syringe [Genotropin]762833 | 0 / 8 | 0 | Not on formulary |
| 0.25 ML somatropin 1.6 MG/ML Prefilled Syringe [Genotropin]762836 | 0 / 8 | 0 | Not on formulary |
| 0.25 ML somatropin 2.4 MG/ML Prefilled Syringe [Genotropin]762839 | 0 / 8 | 0 | Not on formulary |
| 0.25 ML somatropin 3.2 MG/ML Prefilled Syringe [Genotropin]762843 | 0 / 8 | 0 | Not on formulary |
| 0.25 ML somatropin 4.8 MG/ML Prefilled Syringe [Genotropin]762849 | 0 / 8 | 0 | Not on formulary |
| 0.25 ML somatropin 5.6 MG/ML Prefilled Syringe [Genotropin]762852 | 0 / 8 | 0 | Not on formulary |
| 0.25 ML somatropin 6.4 MG/ML Prefilled Syringe [Genotropin]762859 | 0 / 8 | 0 | Not on formulary |
| 0.25 ML somatropin 7.2 MG/ML Prefilled Syringe [Genotropin]762868 | 0 / 8 | 0 | Not on formulary |
| 0.25 ML somatropin 4 MG/ML Prefilled Syringe [Genotropin]762875 | 0 / 8 | 0 | Not on formulary |
| 0.25 ML somatropin 8 MG/ML Prefilled Syringe [Genotropin]762897 | 0 / 8 | 0 | Not on formulary |
| 1 ML somatropin 5 MG/ML Cartridge [Genotropin]763489 | 8 / 8 | 8 | Prior authorization required |
| 1 ML somatropin 12 MG/ML Cartridge [Genotropin]996559 | 8 / 8 | 8 | Prior authorization required |
Product names come from RxNorm (U.S. National Library of Medicine).
- Effective
- 2026-06-30
- Retrieved
- 2026-07-19
- SHA-256
- e626e6bcda1aa6a0071e6f0df6bafe686ae41842cdf0a9feffdc649b6d3ff3ae
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Genotropin 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.