lipase/protease/amylase (pork)

10-32-42K, 10.5-35.5K, 15-47-63K, 16.8-56.8K, 16K-57.5K, 2.6K-8.8K, 20-63-84K, 21 K-54.7K, 24K-86.25K, 25-79-105K, 3-10-14K, 37K-97.3K, 4.2K-14.2K, 40-126-168, 4000-14375, 5K-17K-24K, 60K-189.6K, 8... — Delayed Release Capsule

PANCREATIC ENZYME REPLACEMENT THERAPY (PERT)

Also known as: PANCREAZE PERTZYE ZENPEP

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: Jul 31, 2026  ·  Checked: 3 hours, 1 minute ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
TRICARE Uniform Formulary 2026 Tier 3 - Non-Formulary ✓ — — PA
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