Prior authorization required

Does Wellpoint Texas, INC. require prior authorization for Procrit?

Wellpoint Texas, INC. requires prior authorization for Procrit 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
1 ML epoetin alfa 10000 UNT/ML Injection [Procrit]1721690	16 / 16	16	Prior authorization required
1 ML epoetin alfa 2000 UNT/ML Injection [Procrit]205918	16 / 16	16	Prior authorization required
1 ML epoetin alfa 3000 UNT/ML Injection [Procrit]205922	16 / 16	16	Prior authorization required
1 ML epoetin alfa 4000 UNT/ML Injection [Procrit]205924	16 / 16	16	Prior authorization required
epoetin alfa 20000 UNT/ML Injectable Solution [Procrit]212219	16 / 16	16	Prior authorization required
1 ML epoetin alfa 40000 UNT/ML Injection [Procrit]213475	16 / 16	16	Prior authorization required

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

Plan-by-plan detail — 1 ML epoetin alfa 10000 UNT/ML Injection [Procrit]

Procrit has 6 products in the corpus; this table is for 1 ML epoetin alfa 10000 UNT/ML Injection [Procrit], the one carried on the most plans. The product table above covers every strength.

Plan	Contract	Tier	Prior auth	Step therapy	Qty limit
Wellpoint Chronic Care 2 (HMO-POS C-SNP)	H2593-006	4	Yes	No	No
Wellpoint Dual Advantage 2 (HMO D-SNP)	H2593-032	4	Yes	No	No
Wellpoint Full Dual Advantage (HMO D-SNP)	H2593-053	4	Yes	No	No
Wellpoint Full Dual Advantage 2 (HMO D-SNP)	H2593-048	4	Yes	No	No
Wellpoint Full Dual Advantage 2 (HMO D-SNP)	H2593-051	4	Yes	No	No
Wellpoint Full Dual Advantage Aligned (HMO D-SNP)	H2593-044	4	Yes	No	No
Wellpoint Full Dual Advantage Aligned (HMO D-SNP)	H2593-045	4	Yes	No	No
Wellpoint Full Dual Advantage Aligned (HMO D-SNP)	H2593-046	4	Yes	No	No
Wellpoint Full Dual Advantage Aligned (HMO D-SNP)	H2593-047	4	Yes	No	No
Wellpoint I CareMore Home Care 2 (HMO I-SNP)	H2593-003	4	Yes	No	No
Wellpoint I CareMore Kidney Care (HMO-POS C-SNP)	H2593-040	4	Yes	No	No
Wellpoint Kidney Care (HMO-POS C-SNP)	H2593-031	4	Yes	No	No
Wellpoint Kidney Care (HMO-POS C-SNP)	H2593-043	4	Yes	No	No
Wellpoint Lung Care 2 (HMO-POS C-SNP)	H2593-005	4	Yes	No	No
Wellpoint Medicare Advantage 2 (HMO-POS)	H2593-001	4	Yes	No	No
Wellpoint Medicare Advantage 2 (HMO-POS)	H2593-029	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.

Procrit at other payers

Or see Procrit 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.