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Pharmacy Coverage Policies
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Effective Date
Policy Name
Reviewed Date
1/1/2024
Zaltrap (ziv-aflibercept)
11/19/2025
1/1/2026
Zaltrap (ziv-aflibercept)
11/19/2025
1/1/2026
Zaltrap (ziv-aflibercept)
11/19/2025
1/1/2025
Zavesca® (miglustat)
1/21/2026
1/1/2024
Zavzpret™ (zavegepant)
4/15/2026
1/1/2026
Zejula (niraparib)
2/18/2026
1/1/2026
Zelboraf (vemurafenib)
4/15/2026
8/27/2025
Zelsuvmi™ (berdazimer)
8/19/2026
1/1/2026
Zemaira® (alpha-1 proteinase inhibitor)
6/17/2026
1/1/2026
Zepatier® (elbasvir/grazoprevir)
6/17/2026
1/20/2025
Zepbound® (tirzepatide)
7/15/2026
1/1/2026
Zeposia® (ozanimod)
5/20/2026
8/19/2020
Zepzelca (lurbinectedin)
12/10/2025
2/1/2026
Zepzelca (lurbinectedin)
12/10/2025
2/1/2026
Zepzelca (lurbinectedin)
12/10/2025
5/20/2015
Zevalin® (ibritumomab tiuxetan)
12/10/2025
2/1/2026
Zevalin® (ibritumomab tiuxetan)
12/10/2025
1/22/2025
Ziihera (zanidatamab-hrii)
9/17/2025
11/1/2025
Ziihera (zanidatamab-hrii)
9/17/2025
11/1/2025
Ziihera (zanidatamab-hrii)
9/17/2025
1/1/2025
Zilbrysq (zilucoplan)
8/19/2026
1/1/2024
Zilretta® (triamcinolone acetonide extended-release injectable suspension)
1/21/2026
7/1/2024
Zilretta® (triamcinolone acetonide extended-release injectable suspension)
1/21/2026
3/1/2026
Zilretta® (triamcinolone acetonide extended-release injectable suspension)
1/21/2026
7/23/2025
Zilxi® (minocycline) Topical Foam
7/15/2026
2/25/2026
Zokinvy ™ (lonafarnib)
2/18/2026
1/1/2017
Zoladex (goserelin)
8/19/2026
10/1/2025
Zoladex (goserelin)
8/19/2026
10/1/2025
Zoladex (goserelin)
8/19/2026
7/1/2024
Zolgensma® (onasemnogene abeparvovec-xioi)
1/21/2026
1/1/2020
Zolinza® (vorinostat)
1/21/2026
10/26/2022
Zonisade™ (zonisamide)
6/17/2026
1/1/2026
Zoryve (roflumilast)
7/15/2026
7/27/2022
Ztalmy® (ganaxolone)
3/18/2026
1/1/2026
ZTlido® (lidocaine topical system)
5/20/2026
1/1/2021
Zulresso® (brexanolone)
2/18/2026
9/24/2025
Zunveyl tablet,delayed release (benzgalantamine)
9/17/2025
1/1/2026
Zurzuvae® (zuranolone)
8/19/2026
8/27/2025
Zusduri (mitomycin)
8/19/2026
10/1/2025
Zusduri (mitomycin)
8/19/2026
10/1/2025
Zusduri (mitomycin)
8/19/2026
1/1/2016
Zyclara® (imiquimod)
10/15/2025
2/25/2026
Zycubo® (copper histidinate) Powder for Injection
2/18/2026
1/1/2023
Zydelig® (idelalisib)
6/17/2026
1/1/2026
Zykadia (ceritinib)
2/18/2026
1/1/2025
Zymfentra (infliximab-dyyb)
5/20/2026
7/21/2021
Zynlonta™ (loncastuximab tesirine-Ipyl)
6/17/2026
9/1/2026
Zynlonta™ (loncastuximab tesirine-Ipyl)
6/17/2026
9/1/2026
Zynlonta™ (loncastuximab tesirine-Ipyl)
6/17/2026
9/1/2026
Zynlonta™ (loncastuximab tesirine-Ipyl)
6/17/2026
5/24/2023
Zynyz (retifanlimab-dlwr)
7/15/2026
10/1/2025
Zynyz (retifanlimab-dlwr)
8/20/2025
1/1/2026
Zynyz (retifanlimab-dlwr)
7/15/2026
10/1/2025
Zynyz (retifanlimab-dlwr)
7/15/2026
10/1/2025
Zynyz (retifanlimab-dlwr)
7/15/2026
5/1/2021
Zypitamag® (pitavastatin)
10/15/2025
1/1/2026
Zytiga (abiraterone acetate) and generic abiraterone acetate
5/20/2026
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