Varies by plan

Does Humana require prior authorization for Xcopri?

Prior authorization for Xcopri differs across Humana's Medicare Part D plans and product strengths — 3 of 5 Xcopri 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.

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	Qty limit	Status
cenobamate 50 MG Oral Tablet [Xcopri]2265701	817 / 817	817	817	Prior authorization required
cenobamate 100 MG Oral Tablet [Xcopri]2283505	817 / 817	817	817	Prior authorization required
cenobamate 150 MG Oral Tablet [Xcopri]2283509	817 / 817	817	817	Prior authorization required
cenobamate 200 MG Oral Tablet [Xcopri]2283513	0 / 817	0	0	Not on formulary
cenobamate 25 MG Oral Tablet [Xcopri]2283527	0 / 817	0	0	Not on formulary

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

Plan-by-plan detail — cenobamate 50 MG Oral Tablet [Xcopri]

Xcopri has 5 products in the corpus; this table is for cenobamate 50 MG Oral Tablet [Xcopri], the one carried on the most plans. The product table above covers every strength.

Plan	Contract	Tier	Prior auth	Step therapy	Qty limit
Humana Basic Rx Plan (PDP)	S5884-101	4	Yes	No	Yes
Humana Basic Rx Plan (PDP)	S5884-102	4	Yes	No	Yes
Humana Basic Rx Plan (PDP)	S5884-103	4	Yes	No	Yes
Humana Basic Rx Plan (PDP)	S5884-104	4	Yes	No	Yes
Humana Basic Rx Plan (PDP)	S5884-105	4	Yes	No	Yes
Humana Basic Rx Plan (PDP)	S5884-106	4	Yes	No	Yes
Humana Basic Rx Plan (PDP)	S5884-107	4	Yes	No	Yes
Humana Basic Rx Plan (PDP)	S5884-108	4	Yes	No	Yes
Humana Basic Rx Plan (PDP)	S5884-109	4	Yes	No	Yes
Humana Basic Rx Plan (PDP)	S5884-110	4	Yes	No	Yes
Humana Basic Rx Plan (PDP)	S5884-111	4	Yes	No	Yes
Humana Basic Rx Plan (PDP)	S5884-112	4	Yes	No	Yes
Humana Basic Rx Plan (PDP)	S5884-113	4	Yes	No	Yes
Humana Basic Rx Plan (PDP)	S5884-114	4	Yes	No	Yes
Humana Basic Rx Plan (PDP)	S5884-115	4	Yes	No	Yes
Humana Basic Rx Plan (PDP)	S5884-116	4	Yes	No	Yes
Humana Basic Rx Plan (PDP)	S5884-131	4	Yes	No	Yes
Humana Basic Rx Plan (PDP)	S5884-132	4	Yes	No	Yes
Humana Basic Rx Plan (PDP)	S5884-133	4	Yes	No	Yes
Humana Basic Rx Plan (PDP)	S5884-134	4	Yes	No	Yes
Humana Basic Rx Plan (PDP)	S5884-135	4	Yes	No	Yes
Humana Basic Rx Plan (PDP)	S5884-136	4	Yes	No	Yes
Humana Basic Rx Plan (PDP)	S5884-137	4	Yes	No	Yes
Humana Basic Rx Plan (PDP)	S5884-138	4	Yes	No	Yes
Humana Basic Rx Plan (PDP)	S5884-139	4	Yes	No	Yes
Humana Basic Rx Plan (PDP)	S5884-140	4	Yes	No	Yes
Humana Basic Rx Plan (PDP)	S5884-141	4	Yes	No	Yes
Humana Basic Rx Plan (PDP)	S5884-142	4	Yes	No	Yes
Humana Basic Rx Plan (PDP)	S5884-143	4	Yes	No	Yes
Humana Basic Rx Plan (PDP)	S5884-144	4	Yes	No	Yes
Humana Basic Rx Plan (PDP)	S5884-145	4	Yes	No	Yes
Humana Basic Rx Plan (PDP)	S5884-146	4	Yes	No	Yes
Humana Basic Rx Plan (PDP)	S5884-147	4	Yes	No	Yes
Humana Basic Rx Plan (PDP)	S5884-216	4	Yes	No	Yes
Humana Cleveland Clinic Preferred (HMO-POS)	H6622-023	5	Yes	No	Yes
Humana Community (HMO-POS)	H4623-002	5	Yes	No	Yes
Humana Community (HMO)	H0292-001	5	Yes	No	Yes
Humana Community (HMO)	H1036-236	5	Yes	No	Yes
Humana Community (HMO)	H1036-332	5	Yes	No	Yes
Humana Community (HMO)	H5178-002	5	Yes	No	Yes
Humana Community (HMO)	H5619-159	5	Yes	No	Yes
Humana Community HMO Diabetes and Heart (HMO C-SNP)	H1036-234	5	Yes	No	Yes
Humana Community HMO Diabetes and Heart (HMO C-SNP)	H1468-017	5	Yes	No	Yes
Humana Community HMO SNP-DE (HMO D-SNP)	H1036-235	5	Yes	No	Yes
Humana Direct Choice Giveback (PPO)	H5216-406	5	Yes	No	Yes
Humana Direct Choice Giveback (PPO)	H5216-424	5	Yes	No	Yes
Humana Direct Choice Giveback (PPO)	H5216-431	5	Yes	No	Yes
Humana Direct Choice Giveback (PPO)	H5216-452	5	Yes	No	Yes
Humana Direct Choice Giveback (PPO)	H5970-031	5	Yes	No	Yes
Humana Direct Choice Giveback (PPO)	H7617-112	5	Yes	No	Yes
Humana Direct Choice GIveback (PPO)	H5970-032	5	Yes	No	Yes
Humana Dual Fully Integrated (HMO D-SNP)	H4329-001	5	Yes	No	Yes
Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP)	H2875-001	5	Yes	No	Yes
Humana Dual Fully Integrated H2875-003 (HMO D-SNP)	H2875-003	5	Yes	No	Yes
Humana Dual Integrated (HMO D-SNP)	H0963-001	5	Yes	No	Yes
Humana Dual Integrated (HMO D-SNP)	H1036-339	5	Yes	No	Yes
Humana Dual Integrated (HMO D-SNP)	H1036-340	5	Yes	No	Yes
Humana Dual Integrated (HMO D-SNP)	H1036-341	5	Yes	No	Yes
Humana Dual Integrated (HMO D-SNP)	H1396-001	5	Yes	No	Yes
Humana Dual Select H0028-078 (HMO D-SNP)	H0028-078	5	Yes	No	Yes
Humana Dual Select H0028-079 (HMO D-SNP)	H0028-079	5	Yes	No	Yes
Humana Dual Select H1036-307 (HMO D-SNP)	H1036-307	5	Yes	No	Yes
Humana Dual Select H1036-329 (HMO D-SNP)	H1036-329	5	Yes	No	Yes
Humana Dual Select H1951-056 (HMO D-SNP)	H1951-056	5	Yes	No	Yes
Humana Dual Select H2875-005 (HMO D-SNP)	H2875-005	5	Yes	No	Yes
Humana Dual Select H2875-006 (HMO-POS D-SNP)	H2875-006	5	Yes	No	Yes
Humana Dual Select H4939-002 (HMO-POS D-SNP)	H4939-002	5	Yes	No	Yes
Humana Dual Select H5216-206 (PPO D-SNP)	H5216-206	5	Yes	No	Yes
Humana Dual Select H5216-298 (PPO D-SNP)	H5216-298	5	Yes	No	Yes
Humana Dual Select H5216-361 (PPO D-SNP)	H5216-361	5	Yes	No	Yes
Humana Dual Select H5216-385 (PPO D-SNP)	H5216-385	5	Yes	No	Yes
Humana Dual Select H5525-046 (PPO D-SNP)	H5525-046	5	Yes	No	Yes
Humana Dual Select H5525-072 (PPO D-SNP)	H5525-072	5	Yes	No	Yes
Humana Dual Select H5619-075 (HMO D-SNP)	H5619-075	5	Yes	No	Yes
Humana Dual Select H5619-093 (HMO D-SNP)	H5619-093	5	Yes	No	Yes
Humana Dual Select H5619-126 (HMO-POS D-SNP)	H5619-126	5	Yes	No	Yes
Humana Dual Select H5619-165 (HMO D-SNP)	H5619-165	5	Yes	No	Yes
Humana Dual Select H6622-027 (HMO-POS D-SNP)	H6622-027	5	Yes	No	Yes
Humana Dual Select H7617-039 (PPO D-SNP)	H7617-039	5	Yes	No	Yes
Humana Dual Select H7617-074 (PPO D-SNP)	H7617-074	5	Yes	No	Yes
Humana Dual Select H7617-083 (PPO D-SNP)	H7617-083	5	Yes	No	Yes
Humana Essentials Plus Giveback H0028-063 (HMO)	H0028-063	5	Yes	No	Yes
Humana Essentials Plus Giveback H1036-271 (HMO)	H1036-271	5	Yes	No	Yes
Humana Essentials Plus Giveback H5216-308 (PPO)	H5216-308	5	Yes	No	Yes
Humana Essentials Plus Giveback H5216-358 (PPO)	H5216-358	5	Yes	No	Yes
Humana Essentials Plus Giveback H5216-405 (PPO)	H5216-405	5	Yes	No	Yes
Humana Essentials Plus Giveback H5216-429 (PPO)	H5216-429	5	Yes	No	Yes
Humana Essentials Plus Giveback H5216-430 (PPO)	H5216-430	5	Yes	No	Yes
Humana Essentials Plus Giveback H5216-435 (PPO)	H5216-435	5	Yes	No	Yes
Humana Essentials Plus Giveback H5216-435 (PPO)	H5216-435	5	Yes	No	Yes
Humana Essentials Plus Giveback H5216-435 (PPO)	H5216-435	5	Yes	No	Yes
Humana Essentials Plus Giveback H7617-017 (PPO)	H7617-017	5	Yes	No	Yes
Humana Essentials Plus Giveback H7617-024 (PPO)	H7617-024	5	Yes	No	Yes
Humana Essentials Plus Giveback H7617-035 (PPO)	H7617-035	5	Yes	No	Yes
Humana Essentials Plus Giveback H7617-100 (PPO)	H7617-100	5	Yes	No	Yes
Humana FMOL Baton Rouge H1951-053 (HMO)	H1951-053	5	Yes	No	Yes
Humana Full Access Giveback H5216-306 (PPO)	H5216-306	5	Yes	No	Yes
Humana Full Access Giveback H5216-311 (PPO)	H5216-311	5	Yes	No	Yes
Humana Full Access Giveback H5216-393 (PPO)	H5216-393	5	Yes	No	Yes
Humana Full Access Giveback H7617-058 (PPO)	H7617-058	5	Yes	No	Yes

Showing 100 of 817 covering plans.

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.

Xcopri at other payers

Or see Xcopri 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.