Does Mvp Health Plan, INC. require prior authorization for Genotropin?
Mvp Health Plan, INC. requires prior authorization for Genotropin 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 | Step therapy | Qty limit | Status |
|---|---|---|---|---|---|
| 0.25 ML somatropin 0.8 MG/ML Prefilled Syringe [Genotropin]762833 | 8 / 8 | 8 | 0 | 0 | Prior authorization required |
| 0.25 ML somatropin 1.6 MG/ML Prefilled Syringe [Genotropin]762836 | 8 / 8 | 8 | 0 | 0 | Prior authorization required |
| 0.25 ML somatropin 2.4 MG/ML Prefilled Syringe [Genotropin]762839 | 8 / 8 | 8 | 0 | 0 | Prior authorization required |
| 0.25 ML somatropin 3.2 MG/ML Prefilled Syringe [Genotropin]762843 | 8 / 8 | 8 | 0 | 0 | Prior authorization required |
| 0.25 ML somatropin 4.8 MG/ML Prefilled Syringe [Genotropin]762849 | 8 / 8 | 8 | 0 | 0 | Prior authorization required |
| 0.25 ML somatropin 5.6 MG/ML Prefilled Syringe [Genotropin]762852 | 8 / 8 | 8 | 0 | 0 | Prior authorization required |
| 0.25 ML somatropin 6.4 MG/ML Prefilled Syringe [Genotropin]762859 | 8 / 8 | 8 | 0 | 0 | Prior authorization required |
| 0.25 ML somatropin 7.2 MG/ML Prefilled Syringe [Genotropin]762868 | 8 / 8 | 8 | 0 | 0 | Prior authorization required |
| 0.25 ML somatropin 4 MG/ML Prefilled Syringe [Genotropin]762875 | 8 / 8 | 8 | 0 | 0 | Prior authorization required |
| 0.25 ML somatropin 8 MG/ML Prefilled Syringe [Genotropin]762897 | 8 / 8 | 8 | 0 | 0 | Prior authorization required |
| 1 ML somatropin 5 MG/ML Cartridge [Genotropin]763489 | 8 / 8 | 8 | 0 | 0 | Prior authorization required |
| 1 ML somatropin 12 MG/ML Cartridge [Genotropin]996559 | 8 / 8 | 8 | 0 | 0 | Prior authorization required |
Product names come from RxNorm (U.S. National Library of Medicine).
Plan-by-plan detail — 0.25 ML somatropin 0.8 MG/ML Prefilled Syringe [Genotropin]
Genotropin has 12 products in the corpus; this table is for 0.25 ML somatropin 0.8 MG/ML Prefilled Syringe [Genotropin], the one carried on the most plans. The product table above covers every strength.
| Plan | Contract | Tier | Prior auth | Step therapy | Qty limit |
|---|---|---|---|---|---|
| MVP DualAccess (HMO D-SNP) | H3305-033 | 3 | Yes | No | No |
| MVP DualAccess Complete (HMO D-SNP) | H3305-034 | 3 | Yes | No | No |
| MVP Medicare Complete Wellness with Part D (PPO) | H9615-022 | 3 | Yes | No | No |
| MVP Medicare Complete Wellness with Part D (PPO) | H9615-023 | 3 | Yes | No | No |
| MVP Medicare Complete Wellness with Part D (PPO) | H9615-024 | 3 | Yes | No | No |
| MVP Medicare Preferred Gold with Part D (HMO-POS) | H3305-015 | 3 | Yes | No | No |
| MVP Medicare Secure Plus with Part D (HMO-POS) | H3305-022 | 3 | Yes | No | No |
| MVP Medicare WellSelect with Part D (PPO) | H9615-021 | 3 | Yes | No | No |
- 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.