Benefily
Prior authorization required

Does Network Health Insurance Corporation require prior authorization for Zarxio?

Network Health Insurance Corporation requires prior authorization for Zarxio on every Medicare Part D plan of theirs that covers it.

Every plan from this payer that covers the drug requires authorization before it is dispensed.

By product strength

RxNorm productPlans coveringRequire prior authStep therapyQty limitStatus
0.5 ML filgrastim-sndz 0.6 MG/ML Prefilled Syringe [Zarxio]16050718 / 8800Prior authorization required
0.8 ML filgrastim-sndz 0.6 MG/ML Prefilled Syringe [Zarxio]16050758 / 8800Prior authorization required

Product names come from RxNorm (U.S. National Library of Medicine).

Plan-by-plan detail — 0.5 ML filgrastim-sndz 0.6 MG/ML Prefilled Syringe [Zarxio]

Zarxio has 2 products in the corpus; this table is for 0.5 ML filgrastim-sndz 0.6 MG/ML Prefilled Syringe [Zarxio], the one carried on the most plans. The product table above covers every strength.

PlanContractTierPrior authStep therapyQty limit
Network Health Anywhere (PPO)H5215-0105YesNoNo
Network Health Cares (PPO D-SNP)H5215-0075YesNoNo
Network Health Choice (PPO)H5215-0115YesNoNo
Network Health Go (PPO)H5215-0095YesNoNo
Network Health PlusRx (PPO)H5215-0025YesNoNo
Network Health PremierRx (PPO)H5215-0055YesNoNo
Network Health Select (PPO)H5215-0085YesNoNo
Network Health Zero (PPO)H5215-0125YesNoNo
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.

Zarxio at other payers

Or see Zarxio across every payer at once.

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.