Benefily
Prior authorization required

Does Allina Health And Aetna Insurance Company require prior authorization for Zurzuvae?

Allina Health And Aetna Insurance Company requires prior authorization for Zurzuvae 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
zuranolone 20 MG Oral Capsule [Zurzuvae]26699169 / 9909Prior authorization required
zuranolone 25 MG Oral Capsule [Zurzuvae]26699209 / 9909Prior authorization required
zuranolone 30 MG Oral Capsule [Zurzuvae]26699249 / 9909Prior authorization required

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

Plan-by-plan detail — zuranolone 20 MG Oral Capsule [Zurzuvae]

Zurzuvae has 3 products in the corpus; this table is for zuranolone 20 MG Oral Capsule [Zurzuvae], the one carried on the most plans. The product table above covers every strength.

PlanContractTierPrior authStep therapyQty limit
Allina Health Aetna Medicare Chronic (PPO C-SNP)H3219-0155YesNoYes
Allina Health Aetna Medicare Enhanced (PPO)H3219-0025YesNoYes
Allina Health Aetna Medicare Enhanced (PPO)H3219-0145YesNoYes
Allina Health Aetna Medicare Grand (PPO)H3219-0035YesNoYes
Allina Health Aetna Medicare Grand Extra (PPO)H3219-0045YesNoYes
Allina Health Aetna Medicare Signature (PPO)H3219-0015YesNoYes
Allina Health Aetna Medicare Signature (PPO)H3219-0125YesNoYes
Allina Health Aetna Medicare Signature Fit (PPO)H3219-0085YesNoYes
Allina Health Aetna Medicare Value (PPO C-SNP)H3219-0165YesNoYes
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.

Zurzuvae at other payers

Or see Zurzuvae 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.