Pharmacy Coverage Policies

Search Results

Effective DatePolicy NameReviewed 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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