Does Medicare Part D cover Zubsolv?
Zubsolv appears on the Medicare Part D formularies of 17 payers in the corpus, across 1,263 plans. 0 payers require prior authorization on every covering plan, 0 on some plans, and 17 on none.
Beyond prior authorization: 0 covering plans require step therapy (another drug tried first) and 7 apply a quantity limit, on at least one Zubsolv 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
| Payer | Plans covering | Require prior auth | Step therapy | Quantity limit | Status |
|---|---|---|---|---|---|
| Humana | 817 | 0 | 0 | 0 | No prior authorization |
| Cigna | 171 | 0 | 0 | 0 | No prior authorization |
| Blue Cross Blue Shield (affiliate) | 99 | 0 | 0 | 3 | No prior authorization |
| Cariten Health Plan INC. | 44 | 0 | 0 | 0 | No prior authorization |
| Careplus Health Plans, INC. | 36 | 0 | 0 | 0 | No prior authorization |
| Bravo Health Pennsylvania, INC. | 35 | 0 | 0 | 0 | No prior authorization |
| Upmc Health Plan, INC. | 17 | 0 | 0 | 0 | No prior authorization |
| Upmc Health Network, INC. | 12 | 0 | 0 | 0 | No prior authorization |
| Keystone Health Plan East, INC. | 8 | 0 | 0 | 0 | No prior authorization |
| Bravo Health Mid-Atlantic, INC. | 7 | 0 | 0 | 0 | No prior authorization |
| Qcc Insurance Company | 4 | 0 | 0 | 0 | No prior authorization |
| Gateway Health Plan, INC. | 4 | 0 | 0 | 4 | No prior authorization |
| Amerihealth Insurance Company Of New Jersey | 3 | 0 | 0 | 0 | No prior authorization |
| Upmc For You, INC | 2 | 0 | 0 | 0 | No prior authorization |
| Hm Health Insurance Company | 2 | 0 | 0 | 0 | No prior authorization |
| Independent Care Health Plan | 1 | 0 | 0 | 0 | No prior authorization |
| Upmc Health Coverage, INC. | 1 | 0 | 0 | 0 | No prior authorization |
“Require prior auth”, “step therapy” and “quantity limit” each count a plan when any Zubsolv product on its formulary carries that condition.
- 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.