Does Selecthealth, INC. require prior authorization for Premarin?
Selecthealth, INC. does not require prior authorization for Premarin on the Medicare Part D plans that cover it.
No covering plan from this payer files a prior-authorization requirement for this drug.
- No prior authorization is filed, but step therapy applies on 14 of 14 covering plans — the plan requires another drug be tried first.
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 | 14 / 14 | 0 | 0 | 14 | No prior authorization |
| estrogens, conjugated (USP) 1.25 MG Oral Tablet [Premarin]202301 | 14 / 14 | 0 | 0 | 14 | No prior authorization |
| estrogens, conjugated (USP) 0.3 MG Oral Tablet [Premarin]208513 | 14 / 14 | 0 | 0 | 14 | No prior authorization |
| estrogens, conjugated (USP) 0.9 MG Oral Tablet [Premarin]208949 | 14 / 14 | 0 | 0 | 14 | No prior authorization |
| estrogens, conjugated (USP) 0.45 MG Oral Tablet [Premarin]404550 | 14 / 14 | 0 | 0 | 14 | No prior authorization |
| estrogens, conjugated (USP) 0.625 MG/ML Vaginal Cream [Premarin]688242 | 14 / 14 | 0 | 14 | 14 | 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 |
|---|---|---|---|---|---|
| Select Health Medicare + Kroger (HMO) | H1994-021 | 3 | No | No | Yes |
| Select Health Medicare + Kroger (HMO) | H1994-022 | 3 | No | No | Yes |
| Select Health Medicare + Kroger (HMO) | H1994-030 | 3 | No | No | Yes |
| Select Health Medicare + Kroger (HMO) | H1994-034 | 3 | No | No | Yes |
| Select Health Medicare Active (HMO) | H1994-035 | 3 | No | No | Yes |
| Select Health Medicare Dual (HMO D-SNP) | H1994-015 | 3 | No | No | Yes |
| Select Health Medicare Dual (HMO D-SNP) | H1994-040 | 3 | No | No | Yes |
| Select Health Medicare Essential (HMO) | H1994-001 | 3 | No | No | Yes |
| Select Health Medicare Essential (HMO) | H1994-012 | 3 | No | No | Yes |
| Select Health Medicare Essential (HMO) | H1994-017 | 3 | No | No | Yes |
| Select Health Medicare Essential (HMO) | H1994-027 | 3 | No | No | Yes |
| Select Health Medicare Essential (HMO) | H1994-029 | 3 | No | No | Yes |
| Select Health Medicare Flex (HMO) | H1994-031 | 3 | No | No | Yes |
| Select Health Medicare Wellness (HMO) | H1994-044 | 3 | No | No | Yes |
- 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.