Does Sunshine State Health Plan, INC. require prior authorization for Exxua?
Sunshine State Health Plan, 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 24 of 24 covering plans — the plan requires another drug be tried first.
- 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 | Step therapy | Qty limit | Status |
|---|---|---|---|---|---|
| 24 HR gepirone 18.2 MG Extended Release Oral Tablet [Exxua]2672379 | 24 / 24 | 0 | 24 | 24 | No prior authorization |
| 24 HR gepirone 36.3 MG Extended Release Oral Tablet [Exxua]2672385 | 24 / 24 | 0 | 24 | 24 | No prior authorization |
| 24 HR gepirone 54.5 MG Extended Release Oral Tablet [Exxua]2672391 | 24 / 24 | 0 | 24 | 24 | No prior authorization |
| 24 HR gepirone 72.6 MG Extended Release Oral Tablet [Exxua]2672397 | 0 / 24 | 0 | 0 | 0 | Not on formulary |
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 |
|---|---|---|---|---|---|
| Wellcare Dual Access Sync (HMO D-SNP) | H1032-240 | 5 | No | Yes | Yes |
| Wellcare Dual Access Sync (HMO D-SNP) | H1032-241 | 5 | No | Yes | Yes |
| Wellcare Dual Access Sync (HMO D-SNP) | H1032-244 | 5 | No | Yes | Yes |
| Wellcare Dual Access Sync (HMO D-SNP) | H1032-244 | 5 | No | Yes | Yes |
| Wellcare Dual Reserve (HMO D-SNP) | H1032-202 | 5 | No | Yes | Yes |
| Wellcare Giveback (HMO) | H1032-193 | 5 | No | Yes | Yes |
| Wellcare Giveback (HMO) | H1032-195 | 5 | No | Yes | Yes |
| Wellcare Giveback (HMO) | H1032-198 | 5 | No | Yes | Yes |
| Wellcare Giveback (HMO) | H1032-200 | 5 | No | Yes | Yes |
| Wellcare Giveback (HMO) | H1032-204 | 5 | No | Yes | Yes |
| Wellcare Giveback (HMO) | H1032-210 | 5 | No | Yes | Yes |
| Wellcare Giveback (HMO) | H1032-212 | 5 | No | Yes | Yes |
| Wellcare Simple (HMO) | H1032-194 | 5 | No | Yes | Yes |
| Wellcare Simple (HMO) | H1032-196 | 5 | No | Yes | Yes |
| Wellcare Simple (HMO) | H1032-199 | 5 | No | Yes | Yes |
| Wellcare Simple (HMO) | H1032-201 | 5 | No | Yes | Yes |
| Wellcare Simple (HMO) | H1032-205 | 5 | No | Yes | Yes |
| Wellcare Simple (HMO) | H1032-211 | 5 | No | Yes | Yes |
| Wellcare Simple (HMO) | H1032-213 | 5 | No | Yes | Yes |
| Wellcare Simple (HMO) | H1032-237 | 5 | No | Yes | Yes |
| Wellcare Sunshine Health Dual Align (HMO D-SNP) | H1032-242 | 5 | No | Yes | Yes |
| Wellcare Sunshine Health Dual Align (HMO D-SNP) | H1032-243 | 5 | No | Yes | Yes |
| Wellcare Sunshine Health Dual Align (HMO D-SNP) | H1032-245 | 5 | No | Yes | Yes |
| Wellcare Sunshine Health Dual Align (HMO D-SNP) | H1032-245 | 5 | No | Yes | Yes |
- 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.