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Does Medicare Part D cover Fragmin?

Fragmin appears on the Medicare Part D formularies of 44 payers in the corpus. 0 require prior authorization on every covering plan, 0 on some plans, and 44 on none.

Prior authorization is set per plan, not per payer. Pick a payer below for its full plan-by-plan breakdown, effective 2026-06-30.

Coverage by payer

PayerPlans coveringRequire prior authStatus
Aetna (CVS Health)6110No prior authorization
Simply Healthcare Plans, INC.500No prior authorization
Upmc Health Plan, INC.170No prior authorization
Ultimate Health Plans, INC.160No prior authorization
Excellus Health Plan, INC.160No prior authorization
Healthsun Health Plans, INC.130No prior authorization
Upmc Health Network, INC.120No prior authorization
Quartz Health Plan Corporation100No prior authorization
Sanford Health Plan90No prior authorization
Allina Health And Aetna Insurance Company90No prior authorization
Network Health Insurance Corporation80No prior authorization
Fallon Community Health Plan80No prior authorization
Mass General Brigham Health Plan, INC60No prior authorization
Hometown Health Plan, INC.60No prior authorization
Presbyterian Health Plan60No prior authorization
Bluecross And Blueshield Of South Carolina60No prior authorization
Care N' Care Insurance Company Of North Carolina40No prior authorization
Health New England, INC.40No prior authorization
Security Health Plan Of Wisconsin, INC.40No prior authorization
Gateway Health Plan, INC.40No prior authorization
Quartz Health Plan Mn Corporation40No prior authorization
Medisun, INC.30No prior authorization
Eternalhealth, INC.30No prior authorization
Capital District Physicians' Health Plan, INC.30No prior authorization
Eternalhealth Of Arizona INC30No prior authorization
Provider Partners Health Plan Of Pennsylvania, INC30No prior authorization
Provider Partners Health Plan Of North Carolina30No prior authorization
Provider Partners Health Plan Of Indiana30No prior authorization
Blue Cross Blue Shield (affiliate)30No prior authorization
Provider Partners Health Plan Of Missouri, INC.30No prior authorization
Ks Plan Administrators, LLC20No prior authorization
Beshp, INC.20No prior authorization
Sanford Health Plan Of Minnesota20No prior authorization
Upmc For You, INC20No prior authorization
Good Samaritan Insurance Plan Of Nebraska, INC.20No prior authorization
Excellus Health Plan Community Care LLC20No prior authorization
Provider Partners Health Plan Of Illinois10No prior authorization
Samaritan Health Plans, INC.10No prior authorization
Provider Partners Health Plan Of Texas, INC.10No prior authorization
Orange County Health Authority10No prior authorization
Alohacare10No prior authorization
San Mateo Health Commission10No prior authorization
Upmc Health Coverage, INC.10No prior authorization
Provider Partners Health Plan Of Kentucky10No prior authorization

“Require prior auth” counts a plan when any Fragmin product on its formulary needs authorization.

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.

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.