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Does Medicare Part D cover Gleostine?

Gleostine appears on the Medicare Part D formularies of 128 payers in the corpus. 11 require prior authorization on every covering plan, 0 on some plans, and 117 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
Humana817817Prior authorization required
UnitedHealthcare7310No prior authorization
Aetna (CVS Health)6530No prior authorization
Devoted Health4150No prior authorization
Cigna1710No prior authorization
SCAN Health Plan740No prior authorization
Medco Containment Life And Medco Containment Ny600No prior authorization
Molina Healthcare510No prior authorization
Blue Cross Blue Shield (affiliate)450No prior authorization
Cariten Health Plan INC.4444Prior authorization required
Uhc Of California400No prior authorization
Careplus Health Plans, INC.3636Prior authorization required
Bravo Health Pennsylvania, INC.350No prior authorization
Preferred Care Partners, INC.350No prior authorization
Zing Health Of Michigan, INC.330No prior authorization
Triple S Advantage, INC.2222Prior authorization required
Physicians Health Choice Of Texas, LLC220No prior authorization
Tufts Associated Health Maintenance Organization210No prior authorization
Mcs Advantage, INC.200No prior authorization
Medica Health Plans170No prior authorization
Bluecross Blueshield Of Tennessee, INC.170No prior authorization
Ultimate Health Plans, INC.160No prior authorization
Excellus Health Plan, INC.160No prior authorization
Medical Mutual Of Ohio160No prior authorization
Central Health Plan Of California, INC.150No prior authorization
Blue Care Network Of Michigan150No prior authorization
Peoples Health, INC.130No prior authorization
Clover Health130No prior authorization
HMO Louisiana, INC.120No prior authorization
Mount Carmel Health Plan, INC.110No prior authorization
Sanford Health Plan90No prior authorization
Allina Health And Aetna Insurance Company90No prior authorization
Mvp Health Plan, INC.80No prior authorization
Keystone Health Plan East, INC.88Prior authorization required
Fallon Community Health Plan80No prior authorization
Health Partners Plans, INC.88Prior authorization required
Viva Health, INC.70No prior authorization
Martin'S Point Generations Advantage, INC.70No prior authorization
Bravo Health Mid-Atlantic, INC.70No prior authorization
Medica Insurance Company70No prior authorization
Essence Healthcare PPO, INC.70No prior authorization
Bluecross And Blueshield Of South Carolina70No prior authorization
Christus Health Plan60No prior authorization
Essence Healthcare, INC.60No prior authorization
Hometown Health Plan, INC.60No prior authorization
Elderplan, INC.60No prior authorization
Connecticare, INC.60No prior authorization
Preferred Care Network, INC.60No prior authorization
Hopkins Health Advantage, INC.50No prior authorization
Usable Mutual Insurance Company50No prior authorization
Hpmp Of Florida, INC.50No prior authorization
Care N' Care Insurance Company Of North Carolina40No prior authorization
Health New England, INC.40No prior authorization
The Health Plan Of West Virginia, INC.40No prior authorization
Hawaii Medical Service Association40No prior authorization
Qcc Insurance Company44Prior authorization required
Leon Health, INC.40No prior authorization
Security Health Plan Of Wisconsin, INC.40No prior authorization
Sharp Health Plan40No prior authorization
Boston Medical Center Health Plan, INC.40No prior authorization
Clever Care Of Golden State, INC.40No prior authorization
Thp Insurance Company40No prior authorization
Aspire Health Plan40No prior authorization
Medisun, INC.30No prior authorization
Metroplus Health Plan, INC.30No prior authorization
Louisiana Health Service & Indemnity Company30No prior authorization
Eternalhealth, INC.30No prior authorization
Partners Insurance Company INC33Prior authorization required
Mount Carmel Health Insurance Company30No prior authorization
Senior Whole Health, LLC30No prior authorization
Volunteer State Health Plan30No prior authorization
Capital District Physicians' Health Plan, INC.30No prior authorization
Eternalhealth Of Arizona INC30No prior authorization
Paramount Care, INC.30No prior authorization
Mount Carmel Health Plan Of Idaho, INC.30No 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
Amerihealth Insurance Company Of New Jersey33Prior authorization required
Mercy Care30No prior authorization
Usable HMO, INC.30No prior authorization
Provider Partners Health Plan Of Missouri, INC.30No prior authorization
Hamaspik, INC.20No prior authorization
Arizona Physicians Ipa, INC.20No prior authorization
Carepartners Of Connecticut, INC.20No prior authorization
Beshp, INC.20No prior authorization
Commonwealth Care Alliance, INC.20No prior authorization
Neighborhood Health Plan Of Rhode Island20No prior authorization
Partners Insurance Company Of New Jersey INC22Prior authorization required
Sanford Health Plan Of Minnesota20No prior authorization
Banner - University Care Advantage20No prior authorization
Tufts Health Public Plans, INC.20No prior authorization
Community Health Plan Of Washington20No prior authorization
Senior Whole Health Of New York, INC.20No prior authorization
Nextblue Of North Dakota Insurance Company20No prior authorization
Elderserve Health, INC.20No prior authorization
Good Samaritan Insurance Plan Of Nebraska, INC.20No prior authorization
Excellus Health Plan Community Care LLC20No prior authorization
Group Health Cooperative Of Eau Claire20No prior authorization
Caresource Georgia CO.20No prior authorization
Trinity Health Plan Of Michigan INC20No prior authorization
Wyoblue Advantage INC20No prior authorization
Mount Carmel Health Plan Of New York, INC.20No prior authorization
Longevity Health Plan Of New Jersey Insurance Comp20No prior authorization
Elevance Health (Anthem)20No prior authorization
Longevity Health Plan Of Colorado, INC.10No prior authorization
Johns Hopkins Health Plan Of Virginia, INC.10No prior authorization
Longevity Health Plan Of Florida, INC.10No prior authorization
Independent Care Health Plan11Prior authorization required
Itasca Medical Care10No prior authorization
Upper Peninsula Health Plan, LLC10No prior authorization
Connecticare Insurance Company, INC.10No 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
Hap Caresource10No prior authorization
Paramount Insurance Company10No prior authorization
Longevity Health Plan Of North Carolina, INC.10No prior authorization
Health Choice Arizona, INC.10No prior authorization
Banner Health Plan, INC.10No prior authorization
Alohacare10No prior authorization
Caresource Ohio, INC.10No prior authorization
Provider Partners Health Plan Of Kentucky10No prior authorization
Longevity Health Plan Of Michigan, INC.10No prior authorization
Longevity Health Plan Of New York, INC.10No prior authorization
Hawaii Medical Service Association (Hmsa)10No prior authorization
Longevity Health Plan Of Illinois, INC.10No prior authorization
Healthfirst Insurance Company, INC.10No prior authorization

“Require prior auth” counts a plan when any Gleostine 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.