Does Fallon Community Health Plan require prior authorization for Exxua?
Fallon Community Health Plan does not require prior authorization for Exxua on the Medicare Part D plans that cover it.
No covering plan from this payer files a prior-authorization requirement for this drug.
- No prior authorization is filed, but step therapy applies on 8 of 8 covering plans — the plan requires another drug be tried first.
- This drug does not appear on any of this payer's Medicare Part D formularies. That means it is NOT COVERED under those plans — which is a different and generally worse outcome than requiring prior authorization. An exception or formulary-exception request may still be possible.
By product strength
| RxNorm product | Plans covering | Require prior auth | Step therapy | Qty limit | Status |
|---|---|---|---|---|---|
| 24 HR gepirone 18.2 MG Extended Release Oral Tablet [Exxua]2672379 | 8 / 8 | 0 | 8 | 0 | No prior authorization |
| 24 HR gepirone 36.3 MG Extended Release Oral Tablet [Exxua]2672385 | 8 / 8 | 0 | 8 | 8 | No prior authorization |
| 24 HR gepirone 54.5 MG Extended Release Oral Tablet [Exxua]2672391 | 8 / 8 | 0 | 8 | 8 | No prior authorization |
| 24 HR gepirone 72.6 MG Extended Release Oral Tablet [Exxua]2672397 | 0 / 8 | 0 | 0 | 0 | Not on formulary |
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.
| Plan | Contract | Tier | Prior auth | Step therapy | Qty limit |
|---|---|---|---|---|---|
| Fallon Medicare Plus Blue (HMO) | H9001-031 | 5 | No | Yes | No |
| Fallon Medicare Plus Blue (HMO) | H9001-031 | 5 | No | Yes | No |
| Fallon Medicare Plus Blue (HMO) | H9001-031 | 5 | No | Yes | No |
| Fallon Medicare Plus Green (HMO) | H9001-030 | 5 | No | Yes | No |
| Fallon Medicare Plus Green (HMO) | H9001-030 | 5 | No | Yes | No |
| Fallon Medicare Plus Green (HMO) | H9001-030 | 5 | No | Yes | No |
| Fallon Medicare Plus Orange (HMO) | H9001-038 | 5 | No | Yes | No |
| NaviCare (HMO D-SNP) | H8928-001 | 1 | No | Yes | No |
- Effective
- 2026-06-30
- Retrieved
- 2026-07-19
- SHA-256
- e626e6bcda1aa6a0071e6f0df6bafe686ae41842cdf0a9feffdc649b6d3ff3ae
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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.