Benefily
Prior authorization required

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

Florida Blue Medicare, INC. requires prior authorization for Xtandi 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
enzalutamide 40 MG Oral Capsule [Xtandi]130730915 / 1515015Prior authorization required
enzalutamide 40 MG Oral Tablet [Xtandi]239064615 / 1515015Prior authorization required
enzalutamide 80 MG Oral Tablet [Xtandi]239065015 / 1515015Prior authorization required

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

Plan-by-plan detail — enzalutamide 40 MG Oral Capsule [Xtandi]

Xtandi has 3 products in the corpus; this table is for enzalutamide 40 MG Oral Capsule [Xtandi], the one carried on the most plans. The product table above covers every strength.

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

Xtandi at other payers

Or see Xtandi 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.