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No prior authorization

Does Prominence Healthfirst Of Florida INC require prior authorization for Lupron?

Prominence Healthfirst Of Florida INC does not require prior authorization for Lupron 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 productPlans coveringRequire prior authStatus
1.5 ML leuprolide acetate 30 MG/ML Prefilled Syringe [Lupron]11152595 / 50No prior authorization
1 ML leuprolide acetate 3.75 MG/ML Prefilled Syringe [Lupron]11154595 / 50No prior authorization
1 ML leuprolide acetate 7.5 MG/ML Prefilled Syringe [Lupron]11154645 / 50No prior authorization
1.5 ML leuprolide acetate 15 MG/ML Prefilled Syringe [Lupron]11154685 / 50No prior authorization
1.5 ML leuprolide acetate 7.5 MG/ML Prefilled Syringe [Lupron]11154735 / 50No prior authorization
4-Month 1.5 ML leuprolide acetate 20 MG/ML Prefilled Syringe [Lupron]19465225 / 50No prior authorization
Pediatric 1.5 ML leuprolide acetate 30 MG/ML Prefilled Syringe [Lupron]26396695 / 50No prior authorization
Pediatric 1 ML leuprolide acetate 7.5 MG/ML Prefilled Syringe [Lupron]26397435 / 50No prior authorization
Pediatric 1.5 ML leuprolide acetate 7.5 MG/ML Prefilled Syringe [Lupron]26397505 / 50No prior authorization

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

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.

Lupron at other payers

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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.