Varies by plan

Does Providence Health Assurance require prior authorization for Eligard?

Prior authorization for Eligard differs across Providence Health Assurance's Medicare Part D plans and product strengths — 3 of 4 Eligard 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	Status
0.375 ML leuprolide acetate 120 MG/ML Prefilled Syringe [Eligard]825325	7 / 7	7	Prior authorization required
0.5 ML leuprolide acetate 60 MG/ML Prefilled Syringe [Eligard]825333	7 / 7	7	Prior authorization required
0.25 ML leuprolide acetate 30 MG/ML Prefilled Syringe [Eligard]825334	0 / 7	0	Not on formulary
0.375 ML leuprolide acetate 60 MG/ML Prefilled Syringe [Eligard]825335	7 / 7	7	Prior authorization required

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.

Eligard at other payers

Or see Eligard across every payer at once.

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.