Benefily
Prior authorization required

Does Align Senior Care Mi, LLC require prior authorization for Exxua?

Align Senior Care Mi, LLC requires prior authorization for Exxua 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 productPlans coveringRequire prior authStep therapyQty limitStatus
24 HR gepirone 18.2 MG Extended Release Oral Tablet [Exxua]26723792 / 2202Prior authorization required
24 HR gepirone 36.3 MG Extended Release Oral Tablet [Exxua]26723852 / 2202Prior authorization required
24 HR gepirone 54.5 MG Extended Release Oral Tablet [Exxua]26723912 / 2202Prior authorization required
24 HR gepirone 72.6 MG Extended Release Oral Tablet [Exxua]26723972 / 2202Prior authorization required

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

Plan-by-plan detail — 24 HR gepirone 18.2 MG Extended Release Oral Tablet [Exxua]

Exxua has 4 products in the corpus; this table is for 24 HR gepirone 18.2 MG Extended Release Oral Tablet [Exxua], the one carried on the most plans. The product table above covers every strength.

PlanContractTierPrior authStep therapyQty limit
Premier Care (HMO-POS I-SNP)H6832-0044YesNoYes
Senior Care (HMO I-SNP)H6832-0011YesNoYes
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.

Exxua at other payers

Or see Exxua 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.