Prior authorization required

Does Upmc Health Plan, INC. require prior authorization for Aranesp?

Upmc Health Plan, INC. requires prior authorization for Aranesp 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	Status
0.4 ML darbepoetin alfa 0.025 MG/ML Prefilled Syringe [Aranesp]1605172	17 / 17	17	Prior authorization required
1 ML darbepoetin alfa 0.2 MG/ML Injection [Aranesp]1654955	17 / 17	17	Prior authorization required
1 ML darbepoetin alfa 0.025 MG/ML Injection [Aranesp]352044	17 / 17	17	Prior authorization required
1 ML darbepoetin alfa 0.04 MG/ML Injection [Aranesp]352045	17 / 17	17	Prior authorization required
1 ML darbepoetin alfa 0.06 MG/ML Injection [Aranesp]352046	17 / 17	17	Prior authorization required
1 ML darbepoetin alfa 0.1 MG/ML Injection [Aranesp]352047	17 / 17	17	Prior authorization required
0.5 ML darbepoetin alfa 0.2 MG/ML Prefilled Syringe [Aranesp]730046	17 / 17	17	Prior authorization required
0.4 ML darbepoetin alfa 0.1 MG/ML Prefilled Syringe [Aranesp]731227	17 / 17	17	Prior authorization required
0.6 ML darbepoetin alfa 0.5 MG/ML Prefilled Syringe [Aranesp]731229	17 / 17	17	Prior authorization required
0.3 ML darbepoetin alfa 0.5 MG/ML Prefilled Syringe [Aranesp]731231	17 / 17	17	Prior authorization required
0.4 ML darbepoetin alfa 0.5 MG/ML Prefilled Syringe [Aranesp]731235	17 / 17	17	Prior authorization required
1 ML darbepoetin alfa 0.5 MG/ML Prefilled Syringe [Aranesp]731241	17 / 17	17	Prior authorization required

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

Plan-by-plan detail — 0.4 ML darbepoetin alfa 0.025 MG/ML Prefilled Syringe [Aranesp]

Aranesp has 12 products in the corpus; this table is for 0.4 ML darbepoetin alfa 0.025 MG/ML Prefilled Syringe [Aranesp], the one carried on the most plans. The product table above covers every strength.

Plan	Contract	Tier	Prior auth	Step therapy	Qty limit
UPMC for Life HMO Deductible Rx (HMO)	H3907-037	4	Yes	No	No
UPMC for Life HMO Premier Rx (HMO)	H3907-059	4	Yes	No	No
UPMC for Life HMO Premier Rx (HMO)	H3907-059	4	Yes	No	No
UPMC for Life HMO Premier Rx (HMO)	H3907-059	4	Yes	No	No
UPMC for Life HMO Premier Rx (HMO)	H3907-059	4	Yes	No	No
UPMC for Life HMO Premier Rx (HMO)	H3907-059	4	Yes	No	No
UPMC for Life HMO Rx (HMO)	H3907-058	4	Yes	No	No
UPMC for Life HMO Rx (HMO)	H3907-058	4	Yes	No	No
UPMC for Life HMO Rx (HMO)	H3907-058	4	Yes	No	No
UPMC for Life HMO Rx Choice (HMO)	H3907-057	4	Yes	No	No
UPMC for Life HMO Rx Choice (HMO)	H3907-057	4	Yes	No	No
UPMC for Life HMO Rx Choice (HMO)	H3907-057	4	Yes	No	No
UPMC for Life HMO Rx Choice (HMO)	H3907-057	4	Yes	No	No
UPMC for Life HMO Rx Choice (HMO)	H3907-057	4	Yes	No	No
UPMC for Life HMO Rx Choice (HMO)	H3907-057	4	Yes	No	No
UPMC for Life HMO Rx Choice (HMO)	H3907-057	4	Yes	No	No
UPMC for Life HMO Rx Enhanced (HMO)	H3907-006	4	Yes	No	No

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.

Aranesp at other payers

Or see Aranesp 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.