Benefily
No prior authorization

Does Healthsun Health Plans, INC. require prior authorization for Pacerone?

Healthsun Health Plans, INC. does not require prior authorization for Pacerone on the Medicare Part D plans that cover it.

No covering plan from this payer files a prior-authorization requirement for this drug.

By product strength

RxNorm productPlans coveringRequire prior authStep therapyQty limitStatus
amiodarone hydrochloride 200 MG Oral Tablet [Pacerone]83434613 / 13000No prior authorization
amiodarone hydrochloride 400 MG Oral Tablet [Pacerone]83435013 / 13000No prior authorization
amiodarone hydrochloride 100 MG Oral Tablet [Pacerone]83595813 / 13000No prior authorization

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

Plan-by-plan detail — amiodarone hydrochloride 200 MG Oral Tablet [Pacerone]

Pacerone has 3 products in the corpus; this table is for amiodarone hydrochloride 200 MG Oral Tablet [Pacerone], the one carried on the most plans. The product table above covers every strength.

PlanContractTierPrior authStep therapyQty limit
HealthSun HealthAdvantage Plan (HMO)H5431-0012NoNoNo
HealthSun HealthAdvantage Plan (HMO)H5431-0122NoNoNo
HealthSun HealthAdvantage Plan (HMO)H5431-0132NoNoNo
HealthSun HealthAdvantage Plus (HMO)H5431-0172NoNoNo
HealthSun HealthAdvantage Plus (HMO)H5431-0182NoNoNo
HealthSun HealthAdvantage Plus (HMO)H5431-0202NoNoNo
HealthSun MediMax (HMO)H5431-0062NoNoNo
HealthSun MediSun Extra (HMO D-SNP)H5431-0192NoNoNo
HealthSun MediSun Full Dual Extra (HMO D-SNP)H5431-0262NoNoNo
HealthSun MediSun Full Dual Plus (HMO D-SNP)H5431-0252NoNoNo
HealthSun MediSun Plus (HMO D-SNP)H5431-0162NoNoNo
HealthSun VitalCare (HMO C-SNP)H5431-0212NoNoNo
HealthSun VitalCare (HMO C-SNP)H5431-0222NoNoNo
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.

Pacerone at other payers

Or see Pacerone 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.