lipase/protease/amylase (porcine)

10,000 unit-32,000 unit-42,000 unit, 10,500 unit-35,500 unit-61,500 unit, 12,000 unit-38,000 unit-60,000 unit, 15,000 unit-47,000 unit-63,000 unit, 16,000 unit-57,500 unit-60,500 unit, 16,800 unit-... — Delayed Release Capsule

PANCREATIC ENZYME REPLACEMENT THERAPY (PERT)

Also known as: PERTZYE CREON ZENPEP PANCREAZE

Coverage by Insurer

Informational only — Coverage rules change frequently; verify tier placement and restrictions with your plan or pharmacy before acting.
Source: Excel (XLSX)  ·  Formulary date: Jan 5, 2026  ·  Checked: 16 hours, 10 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
TRICARE Uniform Formulary 2026 Tier 1 - Basic Core Formulary PA
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