Benefily
Varies by plan

Does Florida Blue Medicare, INC. require prior authorization for Exxua?

Prior authorization for Exxua differs across Florida Blue Medicare, INC.'s Medicare Part D plans and product strengths — 3 of 4 Exxua products in the corpus appear on their formularies, and the requirement is not uniform. Check the member's specific plan.

Some plans require authorization and others do not. The member's specific plan decides.

  • Prior authorization requirements differ across this payer's plans: 2 of 15 covering plans require it. Check the specific plan the member is enrolled in — the plan name and contract number are on their insurance card.
  • 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 productPlans coveringRequire prior authStep therapyQty limitStatus
24 HR gepirone 18.2 MG Extended Release Oral Tablet [Exxua]267237915 / 152013Varies by plan
24 HR gepirone 36.3 MG Extended Release Oral Tablet [Exxua]267238515 / 152013Varies by plan
24 HR gepirone 54.5 MG Extended Release Oral Tablet [Exxua]267239115 / 152013Varies by plan
24 HR gepirone 72.6 MG Extended Release Oral Tablet [Exxua]26723970 / 15000Not 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.

PlanContractTierPrior authStep therapyQty limit
BlueMedicare Classic (HMO)H1035-0175NoNoYes
BlueMedicare Classic (HMO)H1035-0195NoNoYes
BlueMedicare Classic (HMO)H1035-0205NoNoYes
BlueMedicare Classic (HMO)H1035-0215NoNoYes
BlueMedicare Preferred (HMO)H1035-0525NoNoYes
BlueMedicare Premier (HMO)H1035-0225NoNoYes
BlueMedicare Premier (HMO)H1035-0255NoNoYes
BlueMedicare Premier (HMO)H1035-0265NoNoYes
BlueMedicare Premier (HMO)H1035-0335NoNoYes
BlueMedicare Premier (HMO)H1035-0345NoNoYes
BlueMedicare Premier (HMO)H1035-0435NoNoYes
BlueMedicare Premier (HMO)H1035-0455NoNoYes
BlueMedicare Premier (HMO)H1035-0485NoNoYes
FHCP Medicare Classic (HMO)H1035-0405YesNoNo
FHCP Medicare Rx Plus (HMO-POS)H1035-0025YesNoNo
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.