MedicarePartD.guide

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2026 Blue Rx PDP Complete (PDP) formulary (drug list)

Contract S5593, plan 003 · Pennsylvania · 3,788 drugs on file · formulary ID 00026017. Each drug links to its cost in every CMS PDP Region 06 plan.

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76 drugs starting with Z.

Drug nameTier30-day preferred pharmacy90-day mail orderUsage management
ZAFEMY 150/35 ug/d PatchNorelgestromin And Ethinyl Estradiol3Preferred Brand25%25%None
ZAFIRLUKAST 10 mg Tablet, Film Coated4Non-Preferred Drug25%25%
  • QL 93 per 31 days
ZAFIRLUKAST 20 mg Tablet, Film Coated4Non-Preferred Drug25%25%
  • QL 62 per 31 days
ZALEPLON 10 mg Capsule2Generic$5.00$12.50
  • PA
  • QL 62 per 31 days
ZALEPLON 5 mg Capsule2Generic$5.00$12.50
  • PA
  • QL 93 per 31 days
ZARXIO 300 ug/.5mL Injection, SolutionFilgrastim-Sndz5Specialty Tier25%N/ANone
ZARXIO 480 ug/.8mL Injection, SolutionFilgrastim-Sndz5Specialty Tier25%N/ANone
ZAVZPRET 10 mg/.1mL SprayZavegepant5Specialty Tier25%N/A
  • PA
  • QL 8 per 30 days
ZEJULA 100 mg Tablet, Film CoatedNiraparib5Specialty Tier25%N/A
  • PA
  • QL 31 per 31 days
ZEJULA 200 mg Tablet, Film CoatedNiraparib5Specialty Tier25%N/A
  • PA
  • QL 31 per 31 days
ZEJULA 300 mg Tablet, Film CoatedNiraparib5Specialty Tier25%N/A
  • PA
  • QL 31 per 31 days
ZELAPAR 1.25 mg Tablet, Orally DisintegratingSelegiline Hydrochloride5Specialty Tier25%N/ANone
ZELBORAF 240 mg Tablet, Film CoatedVemurafenib5Specialty Tier25%N/A
  • PA
  • QL 248 per 31 days
ZELSUVMI KitBerdazimer5Specialty Tier25%N/A
  • PA
  • QL 31 per 28 days
ZELVYSIA 500 mg Powder, For SolutionSapropterin Dihydrochloride5Specialty Tier25%N/A
  • PA
ZEMAIRA KitAlpha-1-Proteinase Inhibitor Human5Specialty Tier25%N/A
  • PA
ZEMDRI (PLAZOMICIN) 500 mg/10mL InjectionPlazomicin5Specialty Tier25%N/ANone
ZENPEP 10000/32000/42000 [USP'U] Capsule, Delayed ReleasePancrelipase Lipase, Pancrelipase Protease, Pancrelipase Amylase3Preferred Brand25%25%None
ZENPEP 15000/47000/63000 [USP'U] Capsule, Delayed ReleasePancrelipase Lipase, Pancrelipase Protease, Pancrelipase Amylase3Preferred Brand25%25%None
ZENPEP 20000/63000/84000 [USP'U] Capsule, Delayed ReleasePancrelipase Lipase, Pancrelipase Protease, Pancrelipase Amylase3Preferred Brand25%25%None
ZENPEP 25000/79000/105000 [USP'U] Capsule, Delayed ReleasePancrelipase Lipase, Pancrelipase Protease, Pancrelipase Amylase3Preferred Brand25%25%None
ZENPEP 3000/10000/14000 [USP'U] Capsule, Delayed ReleasePancrelipase Lipase, Pancrelipase Protease, Pancrelipase Amylase3Preferred Brand25%25%None
ZENPEP 40000/126000/168000 [USP'U] Capsule, Delayed ReleasePancrelipase Lipase, Pancrelipase Protease, Pancrelipase Amylase3Preferred Brand25%25%None
ZENPEP 5000/17000/24000 [USP'U] Capsule, Delayed ReleasePancrelipase Lipase, Pancrelipase Protease, Pancrelipase Amylase3Preferred Brand25%25%None
ZENPEP 60000/189600/252600 [USP'U] Capsule, Delayed ReleasePancrelipase Lipase, Pancrelipase Protease, Pancrelipase Amylase3Preferred Brand25%25%None
ZEPOSIA .92 mg CapsuleOzanimod Hydrochloride5Specialty Tier25%N/A
  • PA
  • QL 31 per 31 days
ZEPOSIA 7-DAY STARTER PACK KitOzanimod Hydrochloride5Specialty Tier25%N/A
  • PA
  • QL 14 per 365 days
ZEPOSIA STARTER KIT KitOzanimod Hydrochloride5Specialty Tier25%N/A
  • PA
  • QL 56 per 365 days
ZIDOVUDINE 10 mg/mL Syrup2Generic$5.00$12.50None
ZIDOVUDINE 100 mg Capsule2Generic$5.00$12.50None
ZIDOVUDINE 300 mg Tablet2Generic$5.00$12.50None
ZILBRYSQ 40 mg/mL Injection, SolutionZilucoplan5Specialty Tier25%N/A
  • PA
  • QL 11.648 per 28 days
ZILBRYSQ 40 mg/mL Injection, SolutionZilucoplan5Specialty Tier25%N/A
  • PA
  • QL 16.072 per 28 days
ZILBRYSQ 40 mg/mL Injection, SolutionZilucoplan5Specialty Tier25%N/A
  • PA
  • QL 22.68 per 28 days
ZILEUTON 600 mg Tablet, Extended Release5Specialty Tier25%N/A
  • PA
  • QL 124 per 31 days
ZIPRASIDONE 20 mg Capsule3Preferred Brand25%25%
  • QL 62 per 31 days
ZIPRASIDONE 40 mg Capsule3Preferred Brand25%25%
  • QL 62 per 31 days
ZIPRASIDONE 60 mg Capsule3Preferred Brand25%25%
  • QL 62 per 31 days
ZIPRASIDONE 80 mg Capsule3Preferred Brand25%25%
  • QL 62 per 31 days
ZIPRASIDONE MESYLATE 20 mg/mL Injection, Powder, Lyophilized, For Solution3Preferred Brand25%25%None
ZIRGAN 1.5 mg/g GelGanciclovir4Non-Preferred Drug25%25%
  • ST
ZOKINVY 50 mg CapsuleLonafarnib5Specialty Tier25%N/A
  • PA
ZOKINVY 75 mg CapsuleLonafarnib5Specialty Tier25%N/A
  • PA
ZOLINZA 100 mg CapsuleVorinostat5Specialty Tier25%N/A
  • PA
ZOLMITRIPTAN 2.5 mg Spray, Metered4Non-Preferred Drug25%25%
  • QL 16 per 28 days
ZOLMITRIPTAN 2.5 mg Tablet2Generic$5.00$12.50
  • QL 16 per 28 days
ZOLMITRIPTAN 2.5 mg Tablet, Orally Disintegrating2Generic$5.00$12.50
  • QL 16 per 28 days
ZOLMITRIPTAN 5 mg Spray4Non-Preferred Drug25%25%
  • QL 8 per 28 days
ZOLMITRIPTAN 5 mg Tablet2Generic$5.00$12.50
  • QL 8 per 28 days
ZOLMITRIPTAN 5 mg Tablet, Orally Disintegrating2Generic$5.00$12.50
  • QL 8 per 28 days
ZOLPIDEM TARTRATE 10 mg Tablet, Film Coated2Generic$5.00$12.50
  • PA
  • QL 31 per 31 days
ZOLPIDEM TARTRATE 12.5 mg Tablet, Film Coated, Extended Release2Generic$5.00$12.50
  • PA
  • QL 31 per 31 days
ZOLPIDEM TARTRATE 5 mg Tablet, Film Coated2Generic$5.00$12.50
  • PA
  • QL 31 per 31 days
ZOLPIDEM TARTRATE 6.25 mg Tablet, Film Coated, Extended Release2Generic$5.00$12.50
  • PA
  • QL 31 per 31 days
ZOLPIDEM TARTRATE SUBLINGUAL 1.75 mg Tablet3Preferred Brand25%25%
  • PA
  • QL 31 per 31 days
ZOLPIDEM TARTRATE SUBLINGUAL 3.5 mg Tablet3Preferred Brand25%25%
  • PA
  • QL 31 per 31 days
ZONISADE 100 mg/5mL SuspensionZonisamide5Specialty Tier25%N/A
  • PA
  • QL 93 per 31 days
ZONISAMIDE 100 mg Capsule2Generic$5.00$12.50None
ZONISAMIDE 25 mg Capsule2Generic$5.00$12.50None
ZONISAMIDE 50 mg Capsule2Generic$5.00$12.50None
ZORYVE 1.5 mg/g CreamRoflumilast4Non-Preferred Drug25%25%
  • PA
  • QL 6 per 28 days
ZOSYN 2/.25 g/50mL Injection, SolutionPiperacillin Sodium And Tazobactam Sodium4Non-Preferred Drug25%25%None
ZOVIA 1/35 KitEthynodiol Diacetate And Ethinyl Estradiol Tablets2Generic$5.00$12.50None
ZTALMY 50 mg/mL SuspensionGanaxolone5Specialty Tier25%N/A
  • PA
  • QL 11 per 30 days
ZUBSOLV .7/.18 mg Tablet, Orally DisintegratingBuprenorphine Hydrochloride And Naloxone Hydrochloride3Preferred Brand25%25%None
ZUBSOLV 1.4/.36 mg Tablet, Orally DisintegratingBuprenorphine Hydrochloride And Naloxone Hydrochloride3Preferred Brand25%25%None
ZUBSOLV 11.4/2.9 mg Tablet, Orally DisintegratingBuprenorphine Hydrochloride And Naloxone Hydrochloride3Preferred Brand25%25%None
ZUBSOLV 2.9/.71 mg Tablet, Orally DisintegratingBuprenorphine Hydrochloride And Naloxone Hydrochloride3Preferred Brand25%25%None
ZUBSOLV 5.7/1.4 mg Tablet, Orally DisintegratingBuprenorphine Hydrochloride And Naloxone Hydrochloride3Preferred Brand25%25%None
ZUBSOLV 8.6/2.1 mg Tablet, Orally DisintegratingBuprenorphine Hydrochloride And Naloxone Hydrochloride3Preferred Brand25%25%None
ZURZUVAE 20 mg CapsuleZuranolone5Specialty Tier25%N/A
  • PA
  • QL 28 per 180 days
ZURZUVAE 25 mg CapsuleZuranolone5Specialty Tier25%N/A
  • PA
  • QL 28 per 180 days
ZURZUVAE 30 mg CapsuleZuranolone5Specialty Tier25%N/A
  • PA
  • QL 14 per 180 days
ZYDELIG 100 mg Tablet, Film CoatedIdelalisib5Specialty Tier25%N/A
  • PA
  • QL 62 per 31 days
ZYDELIG 150 mg Tablet, Film CoatedIdelalisib5Specialty Tier25%N/A
  • PA
  • QL 62 per 31 days
ZYKADIA 150 mg Tablet, Film CoatedCeritinib5Specialty Tier25%N/A
  • PA
  • QL 93 per 31 days

PA = prior authorization, ST = step therapy, QL = quantity limit. Costs are the plan’s initial-coverage cost-sharing from the CMS 2026 formulary files; a drug not listed here is not on this plan’s formulary, though a formulary exception may still be possible.