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Does Medicare Part D cover Matzim?

Matzim appears on the Medicare Part D formularies of 167 payers in the corpus. 0 require prior authorization on every covering plan, 0 on some plans, and 167 on none.

Prior authorization is set per plan, not per payer. Pick a payer below for its full plan-by-plan breakdown, effective 2026-06-30.

Coverage by payer

PayerPlans coveringRequire prior authStatus
UnitedHealthcare6970No prior authorization
Aetna (CVS Health)6460No prior authorization
Cigna1710No prior authorization
Centene (WellCare)1630No prior authorization
Devoted Health1320No prior authorization
Blue Cross Blue Shield (affiliate)890No prior authorization
Alignment Healthcare670No prior authorization
Elevance Health (Anthem)640No prior authorization
Medco Containment Life And Medco Containment Ny600No prior authorization
Molina Healthcare510No prior authorization
Simply Healthcare Plans, INC.500No prior authorization
Uhc Of California400No prior authorization
Bravo Health Pennsylvania, INC.350No prior authorization
Preferred Care Partners, INC.350No prior authorization
Solis Health Plans, INC.240No prior authorization
Sunshine State Health Plan, INC.240No prior authorization
Capital Advantage Insurance Company230No prior authorization
Physicians Health Choice Of Texas, LLC220No prior authorization
Tufts Associated Health Maintenance Organization210No prior authorization
Mmm Healthcare, LLC200No prior authorization
Health Care Service Corporation190No prior authorization
Harmony Health Plan, INC.190No prior authorization
Medica Health Plans170No prior authorization
Upmc Health Plan, INC.170No prior authorization
Bluecross Blueshield Of Tennessee, INC.170No prior authorization
California Physicians' Service160No prior authorization
Excellus Health Plan, INC.160No prior authorization
Medical Mutual Of Ohio160No prior authorization
Superior Healthplan, INC.150No prior authorization
Central Health Plan Of California, INC.150No prior authorization
Selecthealth, INC.140No prior authorization
Peoples Health, INC.130No prior authorization
Clover Health130No prior authorization
Healthsun Health Plans, INC.130No prior authorization
Upmc Health Network, INC.120No prior authorization
HMO Louisiana, INC.120No prior authorization
Hcsc Insurance Services Company110No prior authorization
Wellpoint Texas, INC.110No prior authorization
Mount Carmel Health Plan, INC.110No prior authorization
Pacificsource Community Health Plans110No prior authorization
Wellpoint Insurance Company110No prior authorization
Community Insurance Company100No prior authorization
Quartz Health Plan Corporation100No prior authorization
Compcare Health Services Insurance Corporation100No prior authorization
Sanford Health Plan90No prior authorization
Allina Health And Aetna Insurance Company90No prior authorization
Doctors Healthcare Plans, INC.90No prior authorization
New York Quality Healthcare Corporation90No prior authorization
Wellpoint Tennessee, INC.90No prior authorization
Meridian Health Plan Of Michigan, INC.80No prior authorization
American Progressive Life & Hlth Ins Company Of Ny80No prior authorization
Keystone Health Plan East, INC.80No prior authorization
Network Health Insurance Corporation80No prior authorization
Fallon Community Health Plan80No prior authorization
Health Partners Plans, INC.80No prior authorization
Bravo Health Mid-Atlantic, INC.70No prior authorization
Medica Insurance Company70No prior authorization
Summacare INC.70No prior authorization
Keystone Health Plan Central, INC.70No prior authorization
Essence Healthcare PPO, INC.70No prior authorization
Providence Health Assurance70No prior authorization
Mass General Brigham Health Plan, INC60No prior authorization
Buckeye Community Health Plan, INC.60No prior authorization
Nebraska Total Care, INC.60No prior authorization
Gold Kidney Of Florida INC60No prior authorization
Essence Healthcare, INC.60No prior authorization
Hometown Health Plan, INC.60No prior authorization
Mvp Health Plan, INC.60No prior authorization
Connecticare, INC.60No prior authorization
Preferred Care Network, INC.60No prior authorization
Scott And White Health Plan60No prior authorization
Coordinated Care Of Washington, INC.50No prior authorization
Viva Health, INC.50No prior authorization
Coordinated Care Corporation50No prior authorization
HMO Colorado, INC.50No prior authorization
Gold Kidney Of Arizona50No prior authorization
Martin'S Point Generations Advantage, INC.50No prior authorization
Meridian Health Plan Of Illinois, INC.50No prior authorization
Sunflower State Health Plan, INC.50No prior authorization
Arkansas Health & Wellness Health Plan, INC.50No prior authorization
Home State Health Plan, INC.40No prior authorization
Baylor Scott & White Insurance Company40No prior authorization
Care N' Care Insurance Company Of North Carolina40No prior authorization
Pennsylvania Health & Wellness, INC.40No prior authorization
Sapphire Edge, INC.40No prior authorization
The Health Plan Of West Virginia, INC.40No prior authorization
Qcc Insurance Company40No prior authorization
Security Health Plan Of Wisconsin, INC.40No prior authorization
Boston Medical Center Health Plan, INC.40No prior authorization
Bluecross Blueshield Kansas Solutions, INC.40No prior authorization
Thp Insurance Company40No prior authorization
Amh Health, LLC40No prior authorization
Quartz Health Plan Mn Corporation40No prior authorization
Medisun, INC.30No prior authorization
Wellpoint West Virginia , INC.30No prior authorization
Louisiana Health Service & Indemnity Company30No prior authorization
Eternalhealth, INC.30No prior authorization
Partners Insurance Company INC30No prior authorization
Mount Carmel Health Insurance Company30No prior authorization
Community Care Health Plan Of Louisiana, INC.30No prior authorization
Trillium Community Health Plan, INC.30No prior authorization
Wellpoint New Jersey, INC.30No prior authorization
Independent Health Association, INC.30No prior authorization
Capital District Physicians' Health Plan, INC.30No prior authorization
Eternalhealth Of Arizona INC30No prior authorization
Mount Carmel Health Plan Of Idaho, INC.30No prior authorization
Celtic Insurance Company30No prior authorization
Amerihealth Insurance Company Of New Jersey30No prior authorization
Central Mass Health, LLC30No prior authorization
Bluecross And Blueshield Of South Carolina30No prior authorization
Ghs Insurance Company30No prior authorization
Managed Health Services Insurance CORP.30No prior authorization
Medco Containment Life & Medco Containment Ny & Health Care30No prior authorization
Hamaspik, INC.20No prior authorization
Arizona Physicians Ipa, INC.20No prior authorization
Carepartners Of Connecticut, INC.20No prior authorization
Beshp, INC.20No prior authorization
Wellpoint Iowa, INC.20No prior authorization
Wellpoint Washington, INC.20No prior authorization
Village Senior Services Corporation20No prior authorization
Sentara Health Plans20No prior authorization
Partners Insurance Company Of New Jersey INC20No prior authorization
Sanford Health Plan Of Minnesota20No prior authorization
Upmc For You, INC20No prior authorization
Selectcare Of Texas, INC.20No prior authorization
Banner - University Care Advantage20No prior authorization
Tufts Health Public Plans, INC.20No prior authorization
Vns Choice20No prior authorization
Bridgeway Health Solutions Of Arizona, INC.20No prior authorization
Community Health Plan Of Washington20No prior authorization
Capital Health Plan20No prior authorization
Senior Whole Health Of New York, INC.20No prior authorization
Missouri Care, Incorporated20No prior authorization
Elderserve Health, INC.20No prior authorization
Good Samaritan Insurance Plan Of Nebraska, INC.20No prior authorization
Excellus Health Plan Community Care LLC20No prior authorization
Group Health Cooperative Of Eau Claire20No prior authorization
Caresource Georgia CO.20No prior authorization
Trinity Health Plan Of Michigan INC20No prior authorization
Mount Carmel Health Plan Of New York, INC.20No prior authorization
Longevity Health Plan Of New Jersey Insurance Comp20No prior authorization
Hm Health Insurance Company20No prior authorization
Longevity Health Plan Of Colorado, INC.10No prior authorization
Metroplus Health Plan, INC.10No prior authorization
Wellpoint Health Plans, INC.10No prior authorization
Longevity Health Plan Of Florida, INC.10No prior authorization
HMO Minnesota10No prior authorization
Wellpoint South Carolina, INC.10No prior authorization
Upper Peninsula Health Plan, LLC10No prior authorization
Connecticare Insurance Company, INC.10No prior authorization
Samaritan Health Plans, INC.10No prior authorization
Ghs Health Maintenance Organization, INC.10No prior authorization
Hap Caresource10No prior authorization
Absolute Total Care, INC.10No prior authorization
Longevity Health Plan Of North Carolina, INC.10No prior authorization
Banner Health Plan, INC.10No prior authorization
Aids Healthcare Foundation10No prior authorization
Health Plan Of Careoregon, INC.10No prior authorization
San Mateo Health Commission10No prior authorization
Caresource Ohio, INC.10No prior authorization
Upmc Health Coverage, INC.10No prior authorization
Longevity Health Plan Of Michigan, INC.10No prior authorization
Longevity Health Plan Of New York, INC.10No prior authorization
Healthy Mississippi, INC.10No prior authorization
Longevity Health Plan Of Illinois, INC.10No prior authorization
Ventura County Medi-Cal Managed Care Commission10No prior authorization
Horizon Insurance Company10No prior authorization

“Require prior auth” counts a plan when any Matzim product on its formulary needs authorization.

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.

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.