Benefily
No prior authorization

Does Selecthealth, INC. require prior authorization for Exxua?

Selecthealth, INC. does not require prior authorization for Exxua 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 14 of 14 covering plans — the plan requires another drug be tried first.

By product strength

RxNorm productPlans coveringRequire prior authStep therapyQty limitStatus
24 HR gepirone 18.2 MG Extended Release Oral Tablet [Exxua]267237914 / 1401414No prior authorization
24 HR gepirone 36.3 MG Extended Release Oral Tablet [Exxua]267238514 / 1401414No prior authorization
24 HR gepirone 54.5 MG Extended Release Oral Tablet [Exxua]267239114 / 1401414No prior authorization
24 HR gepirone 72.6 MG Extended Release Oral Tablet [Exxua]267239714 / 1401414No prior authorization

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.

PlanContractTierPrior authStep therapyQty limit
Select Health Medicare + Kroger (HMO)H1994-0215NoYesYes
Select Health Medicare + Kroger (HMO)H1994-0225NoYesYes
Select Health Medicare + Kroger (HMO)H1994-0305NoYesYes
Select Health Medicare + Kroger (HMO)H1994-0345NoYesYes
Select Health Medicare Active (HMO)H1994-0355NoYesYes
Select Health Medicare Dual (HMO D-SNP)H1994-0155NoYesYes
Select Health Medicare Dual (HMO D-SNP)H1994-0405NoYesYes
Select Health Medicare Essential (HMO)H1994-0015NoYesYes
Select Health Medicare Essential (HMO)H1994-0125NoYesYes
Select Health Medicare Essential (HMO)H1994-0175NoYesYes
Select Health Medicare Essential (HMO)H1994-0275NoYesYes
Select Health Medicare Essential (HMO)H1994-0295NoYesYes
Select Health Medicare Flex (HMO)H1994-0315NoYesYes
Select Health Medicare Wellness (HMO)H1994-0445NoYesYes
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.