No prior authorization
Does Blue Cross Blue Shield (affiliate) require prior authorization for Zubsolv?
Blue Cross Blue Shield (affiliate) does not require prior authorization for Zubsolv 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 |
|---|---|---|---|---|---|
| buprenorphine 1.4 MG / naloxone 0.36 MG Sublingual Tablet [Zubsolv]1431083 | 99 / 269 | 0 | 0 | 3 | No prior authorization |
| buprenorphine 5.7 MG / naloxone 1.4 MG Sublingual Tablet [Zubsolv]1431104 | 99 / 269 | 0 | 0 | 3 | No prior authorization |
| buprenorphine 11.4 MG / naloxone 2.9 MG Sublingual Tablet [Zubsolv]1597570 | 99 / 269 | 0 | 0 | 3 | No prior authorization |
| buprenorphine 8.6 MG / naloxone 2.1 MG Sublingual Tablet [Zubsolv]1597575 | 99 / 269 | 0 | 0 | 3 | No prior authorization |
| buprenorphine 2.9 MG / naloxone 0.71 MG Sublingual Tablet [Zubsolv]1666385 | 99 / 269 | 0 | 0 | 3 | No prior authorization |
| buprenorphine 0.7 MG / naloxone 0.18 MG Sublingual Tablet [Zubsolv]1864414 | 99 / 269 | 0 | 0 | 3 | No prior authorization |
Product names come from RxNorm (U.S. National Library of Medicine).
Plan-by-plan detail — buprenorphine 1.4 MG / naloxone 0.36 MG Sublingual Tablet [Zubsolv]
Zubsolv has 6 products in the corpus; this table is for buprenorphine 1.4 MG / naloxone 0.36 MG Sublingual Tablet [Zubsolv], the one carried on the most plans. The product table above covers every strength.
| Plan | Contract | Tier | Prior auth | Step therapy | Qty limit |
|---|---|---|---|---|---|
| Community Blue Medicare HMO Distinct (HMO) | H3384-070 | 3 | No | No | No |
| Community Blue Medicare HMO Distinct (HMO) | H3384-070 | 3 | No | No | No |
| Community Blue Medicare HMO Distinct (HMO) | H3384-070 | 3 | No | No | No |
| Community Blue Medicare HMO Distinct (HMO) | H3957-049 | 3 | No | No | No |
| Community Blue Medicare HMO Distinct (HMO) | H3957-049 | 3 | No | No | No |
| Community Blue Medicare HMO Distinct (HMO) | H3957-049 | 3 | No | No | No |
| Community Blue Medicare HMO Distinct (HMO) | H3957-049 | 3 | No | No | No |
| Community Blue Medicare HMO Distinct (HMO) | H3957-049 | 3 | No | No | No |
| Community Blue Medicare HMO Distinct (HMO) | H3957-049 | 3 | No | No | No |
| Community Blue Medicare HMO Distinct (HMO) | H3957-049 | 3 | No | No | No |
| Community Blue Medicare HMO Merit (HMO) | H3384-071 | 3 | No | No | No |
| Community Blue Medicare HMO Signature (HMO) | H3384-069 | 3 | No | No | No |
| Community Blue Medicare HMO Signature (HMO) | H3384-069 | 3 | No | No | No |
| Community Blue Medicare HMO Signature (HMO) | H3384-069 | 3 | No | No | No |
| Community Blue Medicare HMO Signature (HMO) | H3957-042 | 3 | No | No | No |
| Community Blue Medicare HMO Signature (HMO) | H3957-042 | 3 | No | No | No |
| Community Blue Medicare HMO Signature (HMO) | H3957-042 | 3 | No | No | No |
| Community Blue Medicare HMO Signature (HMO) | H3957-042 | 3 | No | No | No |
| Community Blue Medicare HMO Signature (HMO) | H3957-042 | 3 | No | No | No |
| Community Blue Medicare HMO Signature (HMO) | H3957-042 | 3 | No | No | No |
| Community Blue Medicare HMO Signature (HMO) | H3957-047 | 3 | No | No | No |
| Community Blue Medicare HMO Signature (HMO) | H3957-047 | 3 | No | No | No |
| Community Blue Medicare HMO Signature (HMO) | H3957-047 | 3 | No | No | No |
| Community Blue Medicare HMO Signature (HMO) | H3957-047 | 3 | No | No | No |
| Community Blue Medicare HMO Signature (HMO) | H3957-047 | 3 | No | No | No |
| Community Blue Medicare Plus PPO Signature (PPO) | H3916-039 | 3 | No | No | No |
| Community Blue Medicare Plus PPO Signature (PPO) | H3916-063 | 3 | No | No | No |
| Community Blue Medicare PPO Signature (PPO) | H3916-037 | 3 | No | No | No |
| Community Blue Medicare PPO Signature (PPO) | H3916-037 | 3 | No | No | No |
| Community Blue Medicare PPO Signature (PPO) | H3916-037 | 3 | No | No | No |
| Community Blue Medicare PPO Signature (PPO) | H3916-037 | 3 | No | No | No |
| Community Blue Medicare PPO Signature (PPO) | H3916-037 | 3 | No | No | No |
| Community Blue Medicare PPO Signature (PPO) | H3916-037 | 3 | No | No | No |
| Community Blue Medicare PPO Signature (PPO) | H3916-065 | 3 | No | No | No |
| Complete Blue HMO Distinct (HMO) | H3957-050 | 3 | No | No | No |
| Complete Blue HMO Distinct (HMO) | H3957-050 | 3 | No | No | No |
| Complete Blue HMO Distinct (HMO) | H3957-050 | 3 | No | No | No |
| Complete Blue HMO Distinct (HMO) | H3957-050 | 3 | No | No | No |
| Complete Blue HMO Distinct (HMO) | H3957-050 | 3 | No | No | No |
| Complete Blue Plus PPO Distinct (PPO) | H3916-061 | 3 | No | No | No |
| Complete Blue Plus PPO Distinct (PPO) | H3916-061 | 3 | No | No | No |
| Complete Blue Plus PPO Merit (PPO) | H3916-064 | 3 | No | No | No |
| Complete Blue PPO Distinct (PPO) | H3916-035 | 3 | No | No | No |
| Complete Blue PPO Distinct (PPO) | H3916-035 | 3 | No | No | No |
| Complete Blue PPO Distinct (PPO) | H3916-059 | 3 | No | No | No |
| Complete Blue PPO Distinct (PPO) | H3916-059 | 3 | No | No | No |
| Complete Blue PPO Distinct (PPO) | H3916-060 | 3 | No | No | No |
| Complete Blue PPO Distinct (PPO) | H3916-060 | 3 | No | No | No |
| Complete Blue PPO Distinct (PPO) | H3916-060 | 3 | No | No | No |
| Complete Blue PPO Distinct (PPO) | H3916-060 | 3 | No | No | No |
| Complete Blue PPO Distinct (PPO) | H3916-060 | 3 | No | No | No |
| Complete Blue PPO Distinct (PPO) | H3916-060 | 3 | No | No | No |
| Complete Blue PPO Distinct (PPO) | H3916-062 | 3 | No | No | No |
| Complete Blue PPO Distinct (PPO) | H5106-029 | 3 | No | No | No |
| Complete Blue PPO Distinct (PPO) | H5106-029 | 3 | No | No | No |
| Complete Blue PPO Distinct (PPO) | H5106-029 | 3 | No | No | No |
| Complete Blue PPO Distinct (PPO) | H5106-036 | 3 | No | No | No |
| Complete Blue PPO Distinct (PPO) | H8166-006 | 3 | No | No | No |
| Complete Blue PPO Distinct (PPO) | H8166-007 | 3 | No | No | No |
| Complete Blue PPO Merit (PPO) | H3916-057 | 3 | No | No | No |
| Complete Blue PPO Merit (PPO) | H3916-066 | 3 | No | No | No |
| Complete Blue PPO Merit (PPO) | H5106-037 | 3 | No | No | No |
| Complete Blue PPO Signature (PPO) | H3916-038 | 3 | No | No | No |
| Complete Blue PPO Signature (PPO) | H3916-041 | 3 | No | No | No |
| Complete Blue PPO Signature (PPO) | H3916-041 | 3 | No | No | No |
| Complete Blue PPO Signature (PPO) | H3916-041 | 3 | No | No | No |
| Complete Blue PPO Signature (PPO) | H3916-058 | 3 | No | No | No |
| Complete Blue PPO Signature (PPO) | H5106-030 | 3 | No | No | No |
| Complete Blue PPO Signature (PPO) | H5106-030 | 3 | No | No | No |
| Complete Blue PPO Signature (PPO) | H5106-030 | 3 | No | No | No |
| Complete Blue PPO Signature (PPO) | H5106-035 | 3 | No | No | No |
| Complete Blue PPO Signature (PPO) | H8166-005 | 3 | No | No | No |
| Forever Blue 751 (PPO) | H5526-004 | 3 | No | No | No |
| Forever Blue 770 (PPO) | H5526-018 | 3 | No | No | No |
| Forever Blue Value (PPO) | H5526-016 | 3 | No | No | No |
| Freedom Blue PPO Classic (PPO) | H3916-001 | 3 | No | No | No |
| Freedom Blue PPO Classic (PPO) | H3916-002 | 3 | No | No | No |
| Freedom Blue PPO Deluxe (PPO) | H3916-005 | 3 | No | No | No |
| Freedom Blue PPO Select (PPO) | H3916-022 | 3 | No | No | No |
| Freedom Blue PPO Select (PPO) | H3916-024 | 3 | No | No | No |
| Freedom Blue PPO Standard (PPO) | H3916-015 | 3 | No | No | No |
| Freedom Blue PPO Standard (PPO) | H5106-034 | 3 | No | No | No |
| Freedom Blue PPO Standard (PPO) | H5106-034 | 3 | No | No | No |
| Freedom Blue PPO ValueRx (PPO) | H3916-018 | 3 | No | No | No |
| Freedom Blue PPO ValueRx (PPO) | H3916-032 | 3 | No | No | No |
| Freedom Blue PPO ValueRx (PPO) | H3916-033 | 3 | No | No | No |
| Highmark Health Options Duals (HMO D-SNP) | H6224-001 | 1 | No | No | Yes |
| Highmark Health Options Duals (HMO D-SNP) | H7710-001 | 1 | No | No | Yes |
| Highmark Health Options Duals Select (HMO D-SNP) | H7710-002 | 1 | No | No | Yes |
| Security Blue HMO-POS Deluxe (HMO-POS) | H3957-046 | 3 | No | No | No |
| Security Blue HMO-POS Deluxe (HMO-POS) | H3957-046 | 3 | No | No | No |
| Security Blue HMO-POS Standard (HMO-POS) | H3957-045 | 3 | No | No | No |
| Security Blue HMO-POS Standard (HMO-POS) | H3957-045 | 3 | No | No | No |
| Security Blue HMO-POS ValueRx (HMO-POS) | H3957-031 | 3 | No | No | No |
| Security Blue HMO-POS ValueRx (HMO-POS) | H3957-044 | 3 | No | No | No |
| Security Blue HMO-POS ValueRx (HMO-POS) | H3957-044 | 3 | No | No | No |
| Senior Blue 651 (HMO) | H3384-019 | 3 | No | No | No |
| Senior Blue 652 (HMO) | H3384-013 | 3 | No | No | No |
| Together Blue Medicare HMO Signature (HMO) | H3957-048 | 3 | No | No | No |
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.
Zubsolv 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.