Prior authorization required

Does Priority Health require prior authorization for Exxua?

Priority Health requires prior authorization for Exxua 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 product	Plans covering	Require prior auth	Qty limit	Status
24 HR gepirone 18.2 MG Extended Release Oral Tablet [Exxua]2672379	37 / 37	37	37	Prior authorization required
24 HR gepirone 36.3 MG Extended Release Oral Tablet [Exxua]2672385	37 / 37	37	37	Prior authorization required
24 HR gepirone 54.5 MG Extended Release Oral Tablet [Exxua]2672391	37 / 37	37	37	Prior authorization required
24 HR gepirone 72.6 MG Extended Release Oral Tablet [Exxua]2672397	37 / 37	37	37	Prior authorization required

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.

Plan	Contract	Tier	Prior auth	Step therapy	Qty limit
PriorityMedicare (HMO-POS)	H2320-028	5	Yes	No	Yes
PriorityMedicare (HMO-POS)	H2320-028	5	Yes	No	Yes
PriorityMedicare (HMO-POS)	H2320-028	5	Yes	No	Yes
PriorityMedicare (HMO-POS)	H2320-028	5	Yes	No	Yes
PriorityMedicare (HMO-POS)	H2320-028	5	Yes	No	Yes
PriorityMedicare Edge (PPO)	H4875-020	5	Yes	No	Yes
PriorityMedicare Edge (PPO)	H4875-020	5	Yes	No	Yes
PriorityMedicare Edge (PPO)	H4875-020	5	Yes	No	Yes
PriorityMedicare Key (HMO-POS)	H2320-022	5	Yes	No	Yes
PriorityMedicare Key (HMO-POS)	H2320-022	5	Yes	No	Yes
PriorityMedicare Key (HMO-POS)	H2320-022	5	Yes	No	Yes
PriorityMedicare Key (HMO-POS)	H2320-022	5	Yes	No	Yes
PriorityMedicare Key (HMO-POS)	H2320-022	5	Yes	No	Yes
PriorityMedicare Merit (PPO)	H4875-016	5	Yes	No	Yes
PriorityMedicare Merit (PPO)	H4875-016	5	Yes	No	Yes
PriorityMedicare Merit (PPO)	H4875-016	5	Yes	No	Yes
PriorityMedicare Merit (PPO)	H4875-016	5	Yes	No	Yes
PriorityMedicare Merit (PPO)	H4875-016	5	Yes	No	Yes
PriorityMedicare Smart Savings (HMO-POS)	H2320-032	5	Yes	No	Yes
PriorityMedicare Smart Savings (HMO-POS)	H2320-032	5	Yes	No	Yes
PriorityMedicare Smart Savings (HMO-POS)	H2320-032	5	Yes	No	Yes
PriorityMedicare Thrive (PPO)	H4875-024	5	Yes	No	Yes
PriorityMedicare Thrive (PPO)	H4875-024	5	Yes	No	Yes
PriorityMedicare Thrive Plus (PPO)	H4875-018	5	Yes	No	Yes
PriorityMedicare Thrive Plus (PPO)	H4875-018	5	Yes	No	Yes
PriorityMedicare Thrive Plus (PPO)	H4875-018	5	Yes	No	Yes
PriorityMedicare Thrive Plus (PPO)	H4875-018	5	Yes	No	Yes
PriorityMedicare Thrive Plus (PPO)	H4875-018	5	Yes	No	Yes
PriorityMedicare Value (HMO-POS)	H2320-029	5	Yes	No	Yes
PriorityMedicare Value (HMO-POS)	H2320-029	5	Yes	No	Yes
PriorityMedicare Value (HMO-POS)	H2320-029	5	Yes	No	Yes
PriorityMedicare Value (HMO-POS)	H2320-029	5	Yes	No	Yes
PriorityMedicare Value (HMO-POS)	H2320-029	5	Yes	No	Yes
PriorityMedicare Vintage (HMO-POS)	H2320-031	5	Yes	No	Yes
PriorityMedicare Vital (PPO)	H4875-022	5	Yes	No	Yes
PriorityMedicare Vital (PPO)	H4875-022	5	Yes	No	Yes
PriorityMedicare Vital (PPO)	H4875-022	5	Yes	No	Yes

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.