Benefily
No prior authorization

Does Sunshine State Health Plan, INC. require prior authorization for Lysodren?

Sunshine State Health Plan, INC. does not require prior authorization for Lysodren on the Medicare Part D plans that cover it.

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

By product strength

RxNorm productPlans coveringRequire prior authStep therapyQty limitStatus
mitotane 500 MG Oral Tablet [Lysodren]20737324 / 24000No prior authorization

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

Plan-by-plan detail — mitotane 500 MG Oral Tablet [Lysodren]

PlanContractTierPrior authStep therapyQty limit
Wellcare Dual Access Sync (HMO D-SNP)H1032-2405NoNoNo
Wellcare Dual Access Sync (HMO D-SNP)H1032-2415NoNoNo
Wellcare Dual Access Sync (HMO D-SNP)H1032-2445NoNoNo
Wellcare Dual Access Sync (HMO D-SNP)H1032-2445NoNoNo
Wellcare Dual Reserve (HMO D-SNP)H1032-2025NoNoNo
Wellcare Giveback (HMO)H1032-1935NoNoNo
Wellcare Giveback (HMO)H1032-1955NoNoNo
Wellcare Giveback (HMO)H1032-1985NoNoNo
Wellcare Giveback (HMO)H1032-2005NoNoNo
Wellcare Giveback (HMO)H1032-2045NoNoNo
Wellcare Giveback (HMO)H1032-2105NoNoNo
Wellcare Giveback (HMO)H1032-2125NoNoNo
Wellcare Simple (HMO)H1032-1945NoNoNo
Wellcare Simple (HMO)H1032-1965NoNoNo
Wellcare Simple (HMO)H1032-1995NoNoNo
Wellcare Simple (HMO)H1032-2015NoNoNo
Wellcare Simple (HMO)H1032-2055NoNoNo
Wellcare Simple (HMO)H1032-2115NoNoNo
Wellcare Simple (HMO)H1032-2135NoNoNo
Wellcare Simple (HMO)H1032-2375NoNoNo
Wellcare Sunshine Health Dual Align (HMO D-SNP)H1032-2425NoNoNo
Wellcare Sunshine Health Dual Align (HMO D-SNP)H1032-2435NoNoNo
Wellcare Sunshine Health Dual Align (HMO D-SNP)H1032-2455NoNoNo
Wellcare Sunshine Health Dual Align (HMO D-SNP)H1032-2455NoNoNo
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.

Lysodren at other payers

Or see Lysodren 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.