Benefily
No prior authorization

Does Priority Health require prior authorization for Trintellix?

Priority Health does not require prior authorization for Trintellix on the Medicare Part D plans that cover it.

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

  • No prior authorization is filed, but step therapy applies on 37 of 37 covering plans — the plan requires another drug be tried first.

By product strength

RxNorm productPlans coveringRequire prior authStep therapyQty limitStatus
vortioxetine 10 MG Oral Tablet [Trintellix]179088637 / 3703737No prior authorization
vortioxetine 20 MG Oral Tablet [Trintellix]179089037 / 3703737No prior authorization
vortioxetine 5 MG Oral Tablet [Trintellix]179089237 / 3703737No prior authorization

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

Plan-by-plan detail — vortioxetine 10 MG Oral Tablet [Trintellix]

Trintellix has 3 products in the corpus; this table is for vortioxetine 10 MG Oral Tablet [Trintellix], the one carried on the most plans. The product table above covers every strength.

PlanContractTierPrior authStep therapyQty limit
PriorityMedicare (HMO-POS)H2320-0284NoYesYes
PriorityMedicare (HMO-POS)H2320-0284NoYesYes
PriorityMedicare (HMO-POS)H2320-0284NoYesYes
PriorityMedicare (HMO-POS)H2320-0284NoYesYes
PriorityMedicare (HMO-POS)H2320-0284NoYesYes
PriorityMedicare Edge (PPO)H4875-0204NoYesYes
PriorityMedicare Edge (PPO)H4875-0204NoYesYes
PriorityMedicare Edge (PPO)H4875-0204NoYesYes
PriorityMedicare Key (HMO-POS)H2320-0224NoYesYes
PriorityMedicare Key (HMO-POS)H2320-0224NoYesYes
PriorityMedicare Key (HMO-POS)H2320-0224NoYesYes
PriorityMedicare Key (HMO-POS)H2320-0224NoYesYes
PriorityMedicare Key (HMO-POS)H2320-0224NoYesYes
PriorityMedicare Merit (PPO)H4875-0164NoYesYes
PriorityMedicare Merit (PPO)H4875-0164NoYesYes
PriorityMedicare Merit (PPO)H4875-0164NoYesYes
PriorityMedicare Merit (PPO)H4875-0164NoYesYes
PriorityMedicare Merit (PPO)H4875-0164NoYesYes
PriorityMedicare Smart Savings (HMO-POS)H2320-0324NoYesYes
PriorityMedicare Smart Savings (HMO-POS)H2320-0324NoYesYes
PriorityMedicare Smart Savings (HMO-POS)H2320-0324NoYesYes
PriorityMedicare Thrive (PPO)H4875-0244NoYesYes
PriorityMedicare Thrive (PPO)H4875-0244NoYesYes
PriorityMedicare Thrive Plus (PPO)H4875-0184NoYesYes
PriorityMedicare Thrive Plus (PPO)H4875-0184NoYesYes
PriorityMedicare Thrive Plus (PPO)H4875-0184NoYesYes
PriorityMedicare Thrive Plus (PPO)H4875-0184NoYesYes
PriorityMedicare Thrive Plus (PPO)H4875-0184NoYesYes
PriorityMedicare Value (HMO-POS)H2320-0294NoYesYes
PriorityMedicare Value (HMO-POS)H2320-0294NoYesYes
PriorityMedicare Value (HMO-POS)H2320-0294NoYesYes
PriorityMedicare Value (HMO-POS)H2320-0294NoYesYes
PriorityMedicare Value (HMO-POS)H2320-0294NoYesYes
PriorityMedicare Vintage (HMO-POS)H2320-0314NoYesYes
PriorityMedicare Vital (PPO)H4875-0224NoYesYes
PriorityMedicare Vital (PPO)H4875-0224NoYesYes
PriorityMedicare Vital (PPO)H4875-0224NoYesYes
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.

Trintellix at other payers

Or see Trintellix 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.