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Does Medicare Part D cover Nuzyra?

Nuzyra appears on the Medicare Part D formularies of 83 payers in the corpus, across 2,950 plans. 12 payers require prior authorization on every covering plan, 1 on some plans, and 70 on none.

Beyond prior authorization: 0 covering plans require step therapy (another drug tried first) and 1,591 apply a quantity limit, on at least one Nuzyra product.

Prior authorization is set per plan, not per payer. Pick a payer below for its full plan-by-plan breakdown, effective 2026-06-30.

Coverage by payer

PayerPlans coveringRequire prior authStep therapyQuantity limitStatus
UnitedHealthcare7317310731Prior authorization required
Aetna (CVS Health)653007No prior authorization
Devoted Health41500415No prior authorization
Cigna17117100Prior authorization required
Kaiser Permanente115000No prior authorization
Blue Cross Blue Shield (affiliate)8615016Varies by plan
Elevance Health (Anthem)66001No prior authorization
Molina Healthcare510051No prior authorization
Simply Healthcare Plans, INC.50000No prior authorization
Uhc Of California4040040Prior authorization required
Bravo Health Pennsylvania, INC.353500Prior authorization required
Preferred Care Partners, INC.3535035Prior authorization required
Zing Health Of Michigan, INC.330033No prior authorization
Medco Containment Life And Medco Containment Ny272700Prior authorization required
Freedom Health, INC.24000No prior authorization
Physicians Health Choice Of Texas, LLC2222022Prior authorization required
Mmm Healthcare, LLC2020020Prior authorization required
Upmc Health Plan, INC.170017No prior authorization
Wellpoint Texas, INC.16000No prior authorization
Optimum Healthcare, INC.15000No prior authorization
Central Health Plan Of California, INC.150015No prior authorization
Selecthealth, INC.140014No prior authorization
Wellpoint Insurance Company14000No prior authorization
Peoples Health, INC.1313013Prior authorization required
Clover Health130013No prior authorization
Healthsun Health Plans, INC.13000No prior authorization
Upmc Health Network, INC.120012No prior authorization
Mount Carmel Health Plan, INC.110011No prior authorization
Community Insurance Company10000No prior authorization
HMO Colorado, INC.10000No prior authorization
Compcare Health Services Insurance Corporation10000No prior authorization
Allina Health And Aetna Insurance Company9000No prior authorization
Doctors Healthcare Plans, INC.9009No prior authorization
Wellpoint Tennessee, INC.9000No prior authorization
Mvp Health Plan, INC.8008No prior authorization
Fallon Community Health Plan8000No prior authorization
Viva Health, INC.7007No prior authorization
Martin'S Point Generations Advantage, INC.7007No prior authorization
Wellpoint Health Plans, INC.7000No prior authorization
Bravo Health Mid-Atlantic, INC.7700Prior authorization required
Mass General Brigham Health Plan, INC6000No prior authorization
Christus Health Plan6006No prior authorization
Elderplan, INC.6006No prior authorization
Connecticare, INC.6006No prior authorization
Preferred Care Network, INC.6606Prior authorization required
Hopkins Health Advantage, INC.5005No prior authorization
Hpmp Of Florida, INC.5005No prior authorization
Hawaii Medical Service Association4004No prior authorization
Usable Mutual Insurance Company4004No prior authorization
Sharp Health Plan4004No prior authorization
Clever Care Of Golden State, INC.4004No prior authorization
Amh Health, LLC4000No prior authorization
Metroplus Health Plan, INC.3003No prior authorization
Wellpoint West Virginia , INC.3000No prior authorization
Mount Carmel Health Insurance Company3003No prior authorization
Community Care Health Plan Of Louisiana, INC.3000No prior authorization
Senior Whole Health, LLC3003No prior authorization
Wellpoint New Jersey, INC.3000No prior authorization
Paramount Care, INC.3003No prior authorization
Mount Carmel Health Plan Of Idaho, INC.3003No prior authorization
Mercy Care3003No prior authorization
Usable HMO, INC.3003No prior authorization
Arizona Physicians Ipa, INC.2202Prior authorization required
Wellpoint Iowa, INC.2000No prior authorization
Commonwealth Care Alliance, INC.2002No prior authorization
Wellpoint Washington, INC.2000No prior authorization
Neighborhood Health Plan Of Rhode Island2002No prior authorization
Upmc For You, INC2002No prior authorization
Senior Whole Health Of New York, INC.2002No prior authorization
Missouri Care, Incorporated2000No prior authorization
Trinity Health Plan Of Michigan INC2002No prior authorization
Mount Carmel Health Plan Of New York, INC.2002No prior authorization
Hm Health Insurance Company2000No prior authorization
Johns Hopkins Health Plan Of Virginia, INC.1001No prior authorization
Itasca Medical Care1001No prior authorization
Wellpoint South Carolina, INC.1000No prior authorization
Connecticare Insurance Company, INC.1001No prior authorization
Paramount Insurance Company1001No prior authorization
Health Choice Arizona, INC.1001No prior authorization
Upmc Health Coverage, INC.1001No prior authorization
Hawaii Medical Service Association (Hmsa)1001No prior authorization
Healthy Mississippi, INC.1001No prior authorization
Healthfirst Insurance Company, INC.1001No prior authorization

“Require prior auth”, “step therapy” and “quantity limit” each count a plan when any Nuzyra product on its formulary carries that condition.

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.

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.