Benefily
No prior authorization

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

Healthsun Health Plans, INC. does not require prior authorization for Rexulti 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
brexpiprazole 0.25 MG Oral Tablet [Rexulti]165832513 / 130013No prior authorization
brexpiprazole 0.5 MG Oral Tablet [Rexulti]165832913 / 130013No prior authorization
brexpiprazole 1 MG Oral Tablet [Rexulti]165833313 / 130013No prior authorization
brexpiprazole 2 MG Oral Tablet [Rexulti]165833713 / 130013No prior authorization
brexpiprazole 3 MG Oral Tablet [Rexulti]165834113 / 130013No prior authorization
brexpiprazole 4 MG Oral Tablet [Rexulti]165834513 / 130013No prior authorization

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

Plan-by-plan detail — brexpiprazole 0.25 MG Oral Tablet [Rexulti]

Rexulti has 6 products in the corpus; this table is for brexpiprazole 0.25 MG Oral Tablet [Rexulti], the one carried on the most plans. The product table above covers every strength.

PlanContractTierPrior authStep therapyQty limit
HealthSun HealthAdvantage Plan (HMO)H5431-0015NoNoYes
HealthSun HealthAdvantage Plan (HMO)H5431-0125NoNoYes
HealthSun HealthAdvantage Plan (HMO)H5431-0135NoNoYes
HealthSun HealthAdvantage Plus (HMO)H5431-0175NoNoYes
HealthSun HealthAdvantage Plus (HMO)H5431-0185NoNoYes
HealthSun HealthAdvantage Plus (HMO)H5431-0205NoNoYes
HealthSun MediMax (HMO)H5431-0065NoNoYes
HealthSun MediSun Extra (HMO D-SNP)H5431-0195NoNoYes
HealthSun MediSun Full Dual Extra (HMO D-SNP)H5431-0265NoNoYes
HealthSun MediSun Full Dual Plus (HMO D-SNP)H5431-0255NoNoYes
HealthSun MediSun Plus (HMO D-SNP)H5431-0165NoNoYes
HealthSun VitalCare (HMO C-SNP)H5431-0215NoNoYes
HealthSun VitalCare (HMO C-SNP)H5431-0225NoNoYes
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.

Rexulti at other payers

Or see Rexulti 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.