Benefily

Does Medicare Part D cover Zubsolv?

Zubsolv appears on the Medicare Part D formularies of 17 payers in the corpus. 0 require prior authorization on every covering plan, 0 on some plans, and 17 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
Humana8170No prior authorization
Cigna1710No prior authorization
Blue Cross Blue Shield (affiliate)990No prior authorization
Cariten Health Plan INC.440No prior authorization
Careplus Health Plans, INC.360No prior authorization
Bravo Health Pennsylvania, INC.350No prior authorization
Upmc Health Plan, INC.170No prior authorization
Upmc Health Network, INC.120No prior authorization
Keystone Health Plan East, INC.80No prior authorization
Bravo Health Mid-Atlantic, INC.70No prior authorization
Qcc Insurance Company40No prior authorization
Gateway Health Plan, INC.40No prior authorization
Amerihealth Insurance Company Of New Jersey30No prior authorization
Upmc For You, INC20No prior authorization
Hm Health Insurance Company20No prior authorization
Independent Care Health Plan10No prior authorization
Upmc Health Coverage, INC.10No prior authorization

“Require prior auth” counts a plan when any Zubsolv 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.