Benefily
No prior authorization

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

Sunshine State Health Plan, INC. does not require prior authorization for Pacerone 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
amiodarone hydrochloride 200 MG Oral Tablet [Pacerone]83434624 / 24000No prior authorization
amiodarone hydrochloride 400 MG Oral Tablet [Pacerone]83435024 / 24000No prior authorization
amiodarone hydrochloride 100 MG Oral Tablet [Pacerone]83595824 / 24000No prior authorization

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

Plan-by-plan detail — amiodarone hydrochloride 200 MG Oral Tablet [Pacerone]

Pacerone has 3 products in the corpus; this table is for amiodarone hydrochloride 200 MG Oral Tablet [Pacerone], the one carried on the most plans. The product table above covers every strength.

PlanContractTierPrior authStep therapyQty limit
Wellcare Dual Access Sync (HMO D-SNP)H1032-2401NoNoNo
Wellcare Dual Access Sync (HMO D-SNP)H1032-2411NoNoNo
Wellcare Dual Access Sync (HMO D-SNP)H1032-2441NoNoNo
Wellcare Dual Access Sync (HMO D-SNP)H1032-2441NoNoNo
Wellcare Dual Reserve (HMO D-SNP)H1032-2021NoNoNo
Wellcare Giveback (HMO)H1032-1931NoNoNo
Wellcare Giveback (HMO)H1032-1951NoNoNo
Wellcare Giveback (HMO)H1032-1981NoNoNo
Wellcare Giveback (HMO)H1032-2001NoNoNo
Wellcare Giveback (HMO)H1032-2041NoNoNo
Wellcare Giveback (HMO)H1032-2101NoNoNo
Wellcare Giveback (HMO)H1032-2121NoNoNo
Wellcare Simple (HMO)H1032-1941NoNoNo
Wellcare Simple (HMO)H1032-1961NoNoNo
Wellcare Simple (HMO)H1032-1991NoNoNo
Wellcare Simple (HMO)H1032-2011NoNoNo
Wellcare Simple (HMO)H1032-2051NoNoNo
Wellcare Simple (HMO)H1032-2111NoNoNo
Wellcare Simple (HMO)H1032-2131NoNoNo
Wellcare Simple (HMO)H1032-2371NoNoNo
Wellcare Sunshine Health Dual Align (HMO D-SNP)H1032-2421NoNoNo
Wellcare Sunshine Health Dual Align (HMO D-SNP)H1032-2431NoNoNo
Wellcare Sunshine Health Dual Align (HMO D-SNP)H1032-2451NoNoNo
Wellcare Sunshine Health Dual Align (HMO D-SNP)H1032-2451NoNoNo
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.

Pacerone at other payers

Or see Pacerone 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.