Benefily
Sign inCreate account

Does Medicare Part D cover Zarxio?

Zarxio appears on the Medicare Part D formularies of 159 payers in the corpus. 108 require prior authorization on every covering plan, 1 on some plans, and 50 on none.

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 authStatus
UnitedHealthcare7310No prior authorization
Humana715715Prior authorization required
Aetna (CVS Health)653653Prior authorization required
Devoted Health415415Prior authorization required
Blue Cross Blue Shield (affiliate)19599Varies by plan
Cigna171171Prior authorization required
Kaiser Permanente1150No prior authorization
Elevance Health (Anthem)6767Prior authorization required
Molina Healthcare5151Prior authorization required
Simply Healthcare Plans, INC.5050Prior authorization required
Cariten Health Plan INC.4444Prior authorization required
Uhc Of California400No prior authorization
Careplus Health Plans, INC.3636Prior authorization required
Bravo Health Pennsylvania, INC.3535Prior authorization required
Preferred Care Partners, INC.350No prior authorization
Zing Health Of Michigan, INC.3333Prior authorization required
Freedom Health, INC.2424Prior authorization required
Triple S Advantage, INC.2222Prior authorization required
Physicians Health Choice Of Texas, LLC220No prior authorization
Tufts Associated Health Maintenance Organization210No prior authorization
Mmm Healthcare, LLC2020Prior authorization required
Mcs Advantage, INC.2020Prior authorization required
California Physicians' Service1717Prior authorization required
Upmc Health Plan, INC.1717Prior authorization required
Bluecross Blueshield Of Tennessee, INC.1717Prior authorization required
Wellpoint Texas, INC.1616Prior authorization required
Ultimate Health Plans, INC.160No prior authorization
Excellus Health Plan, INC.160No prior authorization
Optimum Healthcare, INC.1515Prior authorization required
Central Health Plan Of California, INC.1515Prior authorization required
Blue Care Network Of Michigan1515Prior authorization required
Selecthealth, INC.1414Prior authorization required
Wellpoint Insurance Company1414Prior authorization required
Peoples Health, INC.130No prior authorization
Clover Health1313Prior authorization required
Healthsun Health Plans, INC.1313Prior authorization required
Prominence Healthfirst Of Texas1313Prior authorization required
Upmc Health Network, INC.1212Prior authorization required
Mount Carmel Health Plan, INC.1111Prior authorization required
Pacificsource Community Health Plans1111Prior authorization required
Community Insurance Company1010Prior authorization required
HMO Colorado, INC.1010Prior authorization required
Quartz Health Plan Corporation100No prior authorization
Compcare Health Services Insurance Corporation1010Prior authorization required
Sanford Health Plan90No prior authorization
Allina Health And Aetna Insurance Company99Prior authorization required
Geisinger Health Plan99Prior authorization required
Wellpoint Tennessee, INC.99Prior authorization required
Mvp Health Plan, INC.88Prior authorization required
Keystone Health Plan East, INC.80No prior authorization
Network Health Insurance Corporation88Prior authorization required
Prominence Healthfirst88Prior authorization required
Fallon Community Health Plan80No prior authorization
Health Partners Plans, INC.88Prior authorization required
Viva Health, INC.77Prior authorization required
Martin'S Point Generations Advantage, INC.77Prior authorization required
Wellpoint Health Plans, INC.77Prior authorization required
Bravo Health Mid-Atlantic, INC.77Prior authorization required
Bluecross And Blueshield Of South Carolina70No prior authorization
Providence Health Assurance70No prior authorization
Mass General Brigham Health Plan, INC66Prior authorization required
Christus Health Plan66Prior authorization required
Hometown Health Plan, INC.60No prior authorization
Presbyterian Health Plan66Prior authorization required
Elderplan, INC.66Prior authorization required
Connecticare, INC.66Prior authorization required
Preferred Care Network, INC.60No prior authorization
Hopkins Health Advantage, INC.55Prior authorization required
Independent Health Association, INC.50No prior authorization
Usable Mutual Insurance Company55Prior authorization required
Prominence Healthfirst Of Florida INC55Prior authorization required
Hpmp Of Florida, INC.55Prior authorization required
Care N' Care Insurance Company Of North Carolina40No prior authorization
Health New England, INC.40No prior authorization
Hawaii Medical Service Association44Prior authorization required
Qcc Insurance Company40No prior authorization
Security Health Plan Of Wisconsin, INC.40No prior authorization
Sharp Health Plan44Prior authorization required
Gateway Health Plan, INC.44Prior authorization required
Clever Care Of Golden State, INC.44Prior authorization required
Amh Health, LLC44Prior authorization required
Quartz Health Plan Mn Corporation40No prior authorization
Medisun, INC.30No prior authorization
Metroplus Health Plan, INC.33Prior authorization required
Wellpoint West Virginia , INC.33Prior authorization required
Eternalhealth, INC.30No prior authorization
Partners Insurance Company INC33Prior authorization required
Mount Carmel Health Insurance Company33Prior authorization required
Community Care Health Plan Of Louisiana, INC.33Prior authorization required
Senior Whole Health, LLC33Prior authorization required
Wellpoint New Jersey, INC.33Prior authorization required
Volunteer State Health Plan33Prior authorization required
Capital District Physicians' Health Plan, INC.30No prior authorization
Eternalhealth Of Arizona INC30No prior authorization
Paramount Care, INC.33Prior authorization required
Aultcare Health Insuring Corporation30No prior authorization
Mount Carmel Health Plan Of Idaho, INC.33Prior authorization required
Geisinger Indemnity Insurance Company33Prior authorization required
Provider Partners Health Plan Of Pennsylvania, INC30No prior authorization
Provider Partners Health Plan Of North Carolina30No prior authorization
Provider Partners Health Plan Of Indiana30No prior authorization
Amerihealth Insurance Company Of New Jersey30No prior authorization
Mercy Care33Prior authorization required
Usable HMO, INC.33Prior authorization required
Provider Partners Health Plan Of Missouri, INC.30No prior authorization
Arizona Physicians Ipa, INC.20No prior authorization
Ks Plan Administrators, LLC20No prior authorization
Carepartners Of Connecticut, INC.20No prior authorization
Amerihealth Caritas Vip Next, INC.22Prior authorization required
Beshp, INC.20No prior authorization
Wellpoint Iowa, INC.22Prior authorization required
Florida Blue Medicare, INC.20No prior authorization
Commonwealth Care Alliance, INC.22Prior authorization required
Wellpoint Washington, INC.22Prior authorization required
Neighborhood Health Plan Of Rhode Island22Prior authorization required
South Country Health Alliance22Prior authorization required
Sentara Health Plans22Prior authorization required
Partners Insurance Company Of New Jersey INC22Prior authorization required
Sanford Health Plan Of Minnesota20No prior authorization
Vista Health Plan, INC.22Prior authorization required
Upmc For You, INC22Prior authorization required
Troy Health, INC.22Prior authorization required
Tufts Health Public Plans, INC.20No prior authorization
Senior Whole Health Of New York, INC.22Prior authorization required
Nextblue Of North Dakota Insurance Company22Prior authorization required
Missouri Care, Incorporated22Prior authorization required
Good Samaritan Insurance Plan Of Nebraska, INC.20No prior authorization
Excellus Health Plan Community Care LLC20No prior authorization
Trinity Health Plan Of Michigan INC22Prior authorization required
Wyoblue Advantage INC22Prior authorization required
Mount Carmel Health Plan Of New York, INC.22Prior authorization required
Hm Health Insurance Company20No prior authorization
Johns Hopkins Health Plan Of Virginia, INC.11Prior authorization required
Alameda Alliance For Health11Prior authorization required
Independent Care Health Plan11Prior authorization required
Itasca Medical Care11Prior authorization required
Amerihealth Caritas Louisiana, INC.11Prior authorization required
Wellpoint South Carolina, INC.11Prior authorization required
Connecticare Insurance Company, INC.11Prior authorization required
Independent Health Benefits Corporation10No prior authorization
Provider Partners Health Plan Of Illinois10No prior authorization
Samaritan Health Plans, INC.10No prior authorization
Provider Partners Health Plan Of Texas, INC.10No prior authorization
Select Health Of South Carolina, INC.11Prior authorization required
Contra Costa County Medical Service Dba Contra Costa Health11Prior authorization required
Paramount Insurance Company11Prior authorization required
Orange County Health Authority11Prior authorization required
Health Choice Arizona, INC.11Prior authorization required
Health Plan Of Careoregon, INC.11Prior authorization required
Alohacare10No prior authorization
San Mateo Health Commission10No prior authorization
Amerihealth Michigan, INC.11Prior authorization required
Amerihealth Caritas Florida, INC.11Prior authorization required
Upmc Health Coverage, INC.11Prior authorization required
Provider Partners Health Plan Of Kentucky10No prior authorization
Amerihealth Caritas North Carolina, INC.11Prior authorization required
Hawaii Medical Service Association (Hmsa)11Prior authorization required
Healthy Mississippi, INC.11Prior authorization required
Healthfirst Insurance Company, INC.11Prior authorization required

“Require prior auth” counts a plan when any Zarxio product on its formulary needs authorization.

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.