No prior authorization
Does Aetna (CVS Health) require prior authorization for Zenpep?
Aetna (CVS Health) does not require prior authorization for Zenpep 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 product | Plans covering | Require prior auth | Step therapy | Qty limit | Status |
|---|---|---|---|---|---|
| amylase 105000 UNT / lipase 25000 UNT / protease 79000 UNT Delayed Release Oral Capsule [Zenpep]1594673 | 611 / 658 | 0 | 0 | 0 | No prior authorization |
| amylase 14000 UNT / lipase 3000 UNT / protease 10000 UNT Delayed Release Oral Capsule [Zenpep]1595292 | 611 / 658 | 0 | 0 | 0 | No prior authorization |
| amylase 24000 UNT / lipase 5000 UNT / protease 17000 UNT Delayed Release Oral Capsule [Zenpep]1595457 | 611 / 658 | 0 | 0 | 0 | No prior authorization |
| amylase 42000 UNT / lipase 10000 UNT / protease 32000 UNT Delayed Release Oral Capsule [Zenpep]1595462 | 611 / 658 | 0 | 0 | 0 | No prior authorization |
| amylase 63000 UNT / lipase 15000 UNT / protease 47000 UNT Delayed Release Oral Capsule [Zenpep]1595473 | 611 / 658 | 0 | 0 | 0 | No prior authorization |
| amylase 84000 UNT / lipase 20000 UNT / protease 63000 UNT Delayed Release Oral Capsule [Zenpep]1595478 | 611 / 658 | 0 | 0 | 0 | No prior authorization |
| amylase 168000 UNT / lipase 40000 UNT / protease 126000 UNT Delayed Release Oral Capsule [Zenpep]1995479 | 611 / 658 | 0 | 0 | 0 | No prior authorization |
| amylase 252600 UNT / lipase 60000 UNT / protease 189600 UNT Delayed Release Oral Capsule [Zenpep]2669472 | 611 / 658 | 0 | 0 | 0 | No prior authorization |
Product names come from RxNorm (U.S. National Library of Medicine).
Plan-by-plan detail — amylase 105000 UNT / lipase 25000 UNT / protease 79000 UNT Delayed Release Oral Capsule [Zenpep]
Zenpep has 8 products in the corpus; this table is for amylase 105000 UNT / lipase 25000 UNT / protease 79000 UNT Delayed Release Oral Capsule [Zenpep], the one carried on the most plans. The product table above covers every strength.
| Plan | Contract | Tier | Prior auth | Step therapy | Qty limit |
|---|---|---|---|---|---|
| Aetna Community HealthChoices (HMO D-SNP) | H3959-069 | 4 | No | No | No |
| Aetna Community HealthChoices (HMO D-SNP) | H3959-070 | 4 | No | No | No |
| Aetna Community HealthChoices (HMO D-SNP) | H3959-071 | 4 | No | No | No |
| Aetna Community HealthChoices (HMO D-SNP) | H3959-072 | 4 | No | No | No |
| Aetna Community HealthChoices (HMO D-SNP) | H3959-073 | 4 | No | No | No |
| Aetna Medicare Advantra (PPO) | H1608-029 | 4 | No | No | No |
| Aetna Medicare Advantra (PPO) | H7301-002 | 4 | No | No | No |
| Aetna Medicare Advantra Dual (HMO D-SNP) | H1692-005 | 4 | No | No | No |
| Aetna Medicare Advantra Dual (HMO D-SNP) | H3959-036 | 4 | No | No | No |
| Aetna Medicare Advantra Dual Care (HMO D-SNP) | H3959-035 | 4 | No | No | No |
| Aetna Medicare Advantra Elite (HMO) | H1692-003 | 4 | No | No | No |
| Aetna Medicare Advantra Enhanced (HMO-POS) | H3959-001 | 4 | No | No | No |
| Aetna Medicare Advantra Enhanced (HMO-POS) | H3959-039 | 4 | No | No | No |
| Aetna Medicare Advantra Enhanced (PPO) | H1608-027 | 4 | No | No | No |
| Aetna Medicare Advantra Extra (PPO) | H7301-006 | 4 | No | No | No |
| Aetna Medicare Advantra Premier (HMO-POS) | H3959-002 | 4 | No | No | No |
| Aetna Medicare Advantra Premier (PPO) | H5522-002 | 4 | No | No | No |
| Aetna Medicare Advantra Premier (PPO) | H5522-014 | 4 | No | No | No |
| Aetna Medicare Advantra Prime Plus (HMO-POS) | H3959-053 | 4 | No | No | No |
| Aetna Medicare Advantra Signature (HMO-POS) | H3959-010 | 4 | No | No | No |
| Aetna Medicare Advantra Signature (HMO-POS) | H3959-037 | 4 | No | No | No |
| Aetna Medicare Advantra Signature (HMO-POS) | H3959-052 | 4 | No | No | No |
| Aetna Medicare Advantra Signature (HMO) | H1692-002 | 4 | No | No | No |
| Aetna Medicare Advantra Signature (HMO) | H3959-055 | 4 | No | No | No |
| Aetna Medicare Advantra Signature (PPO) | H1608-040 | 4 | No | No | No |
| Aetna Medicare Advantra Signature (PPO) | H5522-004 | 4 | No | No | No |
| Aetna Medicare Advantra Signature Giveback (PPO) | H1608-031 | 4 | No | No | No |
| Aetna Medicare Advantra Signature Giveback (PPO) | H5522-017 | 4 | No | No | No |
| Aetna Medicare Advantra Signature Plus (HMO-POS) | H3959-011 | 4 | No | No | No |
| Aetna Medicare Advantra Signature Plus (HMO-POS) | H3959-032 | 4 | No | No | No |
| Aetna Medicare Carilion Health Prime (HMO-POS) | H3931-158 | 4 | No | No | No |
| Aetna Medicare Chronic Care (HMO C-SNP) | H1609-080 | 4 | No | No | No |
| Aetna Medicare Chronic Care (HMO C-SNP) | H1609-081 | 4 | No | No | No |
| Aetna Medicare Chronic Care (HMO C-SNP) | H1609-082 | 4 | No | No | No |
| Aetna Medicare Chronic Care (HMO C-SNP) | H1609-083 | 4 | No | No | No |
| Aetna Medicare Chronic Care (HMO C-SNP) | H1609-084 | 4 | No | No | No |
| Aetna Medicare Chronic Care (HMO C-SNP) | H1609-085 | 4 | No | No | No |
| Aetna Medicare Chronic Care (HMO C-SNP) | H1609-094 | 4 | No | No | No |
| Aetna Medicare Dual (HMO D-SNP) | H3146-002 | 4 | No | No | No |
| Aetna Medicare Dual (HMO D-SNP) | H4711-013 | 4 | No | No | No |
| Aetna Medicare Dual (HMO D-SNP) | H5325-004 | 4 | No | No | No |
| Aetna Medicare Dual (HMO D-SNP) | H5325-005 | 4 | No | No | No |
| Aetna Medicare Dual (HMO D-SNP) | H5325-006 | 4 | No | No | No |
| Aetna Medicare Dual (PPO D-SNP) | H1608-062 | 4 | No | No | No |
| Aetna Medicare Dual (PPO D-SNP) | H1608-077 | 4 | No | No | No |
| Aetna Medicare Dual Care (HMO D-SNP) | H0628-013 | 4 | No | No | No |
| Aetna Medicare Dual Care (HMO D-SNP) | H3239-010 | 4 | No | No | No |
| Aetna Medicare Dual Care (HMO D-SNP) | H3239-012 | 4 | No | No | No |
| Aetna Medicare Dual Care (HMO D-SNP) | H3239-023 | 4 | No | No | No |
| Aetna Medicare Dual Care (HMO D-SNP) | H4711-012 | 4 | No | No | No |
| Aetna Medicare Dual Care (HMO D-SNP) | H5302-020 | 4 | No | No | No |
| Aetna Medicare Dual Care (HMO D-SNP) | H5325-003 | 4 | No | No | No |
| Aetna Medicare Dual Care (HMO D-SNP) | H5593-001 | 4 | No | No | No |
| Aetna Medicare Dual Care (HMO D-SNP) | H7149-006 | 4 | No | No | No |
| Aetna Medicare Dual Care (HMO D-SNP) | H8597-001 | 4 | No | No | No |
| Aetna Medicare Dual Care (HMO D-SNP) | H8597-002 | 4 | No | No | No |
| Aetna Medicare Dual Care (HMO D-SNP) | H8597-003 | 4 | No | No | No |
| Aetna Medicare Dual Care (PPO D-SNP) | H2293-004 | 4 | No | No | No |
| Aetna Medicare Dual Care (PPO D-SNP) | H3288-053 | 4 | No | No | No |
| Aetna Medicare Dual Care (PPO D-SNP) | H5521-465 | 4 | No | No | No |
| Aetna Medicare Dual Care (PPO D-SNP) | H5521-472 | 4 | No | No | No |
| Aetna Medicare Dual Extra (HMO D-SNP) | H3239-005 | 4 | No | No | No |
| Aetna Medicare Dual Extra (PPO D-SNP) | H1608-076 | 4 | No | No | No |
| Aetna Medicare Dual Extra (PPO D-SNP) | H2293-021 | 4 | No | No | No |
| Aetna Medicare Dual Extra Care (HMO D-SNP) | H3239-001 | 4 | No | No | No |
| Aetna Medicare Dual Extra Care (HMO D-SNP) | H3239-002 | 4 | No | No | No |
| Aetna Medicare Dual Extra Care (HMO D-SNP) | H3239-007 | 4 | No | No | No |
| Aetna Medicare Dual Extra Care (HMO D-SNP) | H3239-015 | 4 | No | No | No |
| Aetna Medicare Dual Extra Care (HMO D-SNP) | H3931-175 | 4 | No | No | No |
| Aetna Medicare Dual Extra Care (HMO D-SNP) | H5302-012 | 4 | No | No | No |
| Aetna Medicare Dual Extra Care (HMO D-SNP) | H5325-007 | 4 | No | No | No |
| Aetna Medicare Dual Extra Care (HMO D-SNP) | H5325-011 | 4 | No | No | No |
| Aetna Medicare Dual Extra Care (PPO D-SNP) | H2293-002 | 4 | No | No | No |
| Aetna Medicare Dual Extra Care (PPO D-SNP) | H5521-464 | 4 | No | No | No |
| Aetna Medicare Dual Prime (HMO D-SNP) | H4711-011 | 4 | No | No | No |
| Aetna Medicare Dual Select (HMO D-SNP) | H1609-017 | 4 | No | No | No |
| Aetna Medicare Dual Select (HMO D-SNP) | H1609-019 | 4 | No | No | No |
| Aetna Medicare Dual Select (HMO D-SNP) | H1609-043 | 4 | No | No | No |
| Aetna Medicare Dual Select (HMO D-SNP) | H1609-044 | 4 | No | No | No |
| Aetna Medicare Dual Select (HMO D-SNP) | H1609-045 | 4 | No | No | No |
| Aetna Medicare Dual Select (HMO D-SNP) | H1609-046 | 4 | No | No | No |
| Aetna Medicare Dual Select (HMO D-SNP) | H1609-047 | 4 | No | No | No |
| Aetna Medicare Dual Select (HMO D-SNP) | H1609-048 | 4 | No | No | No |
| Aetna Medicare Dual Select (HMO D-SNP) | H1609-049 | 4 | No | No | No |
| Aetna Medicare Dual Select (HMO D-SNP) | H1609-055 | 4 | No | No | No |
| Aetna Medicare Dual Select (HMO D-SNP) | H1609-056 | 4 | No | No | No |
| Aetna Medicare Dual Select (HMO D-SNP) | H1609-061 | 4 | No | No | No |
| Aetna Medicare Dual Select (HMO D-SNP) | H1609-062 | 4 | No | No | No |
| Aetna Medicare Dual Select (HMO D-SNP) | H1609-064 | 4 | No | No | No |
| Aetna Medicare Duly Prime (PPO) | H5521-314 | 4 | No | No | No |
| Aetna Medicare Elite (HMO-POS) | H2056-003 | 4 | No | No | No |
| Aetna Medicare Elite (HMO-POS) | H2056-005 | 4 | No | No | No |
| Aetna Medicare Elite (HMO-POS) | H3931-143 | 4 | No | No | No |
| Aetna Medicare Elite (HMO-POS) | H3931-190 | 4 | No | No | No |
| Aetna Medicare Elite (HMO-POS) | H5793-010 | 4 | No | No | No |
| Aetna Medicare Elite (HMO-POS) | H5793-015 | 4 | No | No | No |
| Aetna Medicare Elite (HMO) | H3152-098 | 4 | No | No | No |
| Aetna Medicare Elite (PPO) | H1608-037 | 4 | No | No | No |
| Aetna Medicare Elite (PPO) | H1608-050 | 4 | No | No | No |
| Aetna Medicare Elite (PPO) | H1608-052 | 4 | No | No | No |
Showing 100 of 611 covering plans.
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.
Zenpep at other payers
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.