Drug Coverage Lookup
See how a prescription drug is placed across Medicare Part D plan formularies — tier, prior authorization, step therapy, and quantity limits, counted per unique plan.
ZERBAXA (Ceftolozane and Tazobactam)
Found on the formularies of 218 of 5499 Medicare Part D plans in this dataset · Tiers 1–5 · prior authorization on 1 plans (0%), counting a plan when at least one form/strength carries the flag.
This is dataset-wide formulary placement (data current through 2026-08-31) — check your specific plan for its current coverage and restrictions.
| Plan | Tier | Prior Auth | Step Therapy | Qty Limit |
|---|---|---|---|---|
| Mass General Brigham SCO (HMO D-SNP) (H0777-001) (MA) | Tier 1 | No | No | None |
| Mass General Brigham One Care (HMO D-SNP) (H1611-001) (MA) | Tier 1 | No | No | None |
| American Health Advantage of Florida (HMO I-SNP) (H6652-001) (FL) | Tier 1 | No | No | None |
| American Health Advantage of Mississippi (HMO I-SNP) (H9909-001) (MS) | Tier 1 | No | No | None |
| Georgia Health Advantage (HMO I-SNP) (H8093-001) (GA) | Tier 1 | No | No | None |
| Georgia Health Advantage Choice (HMO I-SNP) (H8093-002) (GA) | Tier 1 | No | No | None |
| American Health Advantage of Tennessee (HMO I-SNP) (H7779-001) (TN) | Tier 1 | No | No | None |
| American Health Advantage of Oklahoma (HMO I-SNP) (H3708-001) (OK) | Tier 1 | No | No | None |
| American Health Advantage of Pennsylvania (HMO I-SNP) (H9968-001) (PA) | Tier 1 | No | No | None |
| American Health Advantage of Louisiana (HMO I-SNP) (H8492-001) (LA) | Tier 1 | No | No | None |
| American Health Advantage of Utah (HMO I-SNP) (H4232-001) (UT) | Tier 1 | No | No | None |
| American Health Advantage of Idaho (HMO I-SNP) (H4232-003) (ID) | Tier 1 | No | No | None |
| American Health Advantage of Indiana (HMO I-SNP) (H9690-001) (IN) | Tier 1 | No | No | None |
| Iowa Health Advantage (HMO I-SNP) (H6765-001) (IA) | Tier 1 | No | No | None |
| Iowa Health Advantage Choice (HMO I-SNP) (H6765-002) (IA) | Tier 1 | No | No | None |
| American Health Advantage of Missouri (HMO I-SNP) (H4490-001) (MO) | Tier 1 | No | No | None |
| American Health Advantage of Missouri Choice (HMO I-SNP) (H4490-003) (MO) | Tier 1 | No | No | None |
| Kansas Health Advantage (HMO I-SNP) (H2392-001) (KS) | Tier 1 | No | No | None |
| Kansas Health Advantage Choice (HMO I-SNP) (H2392-003) (KS) | Tier 1 | No | No | None |
| CalOptima Health OneCare Complete (HMO D-SNP) (H5433-001) (CA) | Tier 2 | Yes | No | None |
| Freedom Medicare Plan Rx (HMO) (H5427-059) (FL) | Tier 4 | No | No | None |
| Freedom Medicare Plan Rx (HMO) (H5427-060) (FL) | Tier 4 | No | No | None |
| Freedom VIP Care (HMO C-SNP) (H5427-070) (FL) | Tier 4 | No | No | None |
| Freedom VIP Savings (HMO C-SNP) (H5427-072) (FL) | Tier 4 | No | No | None |
| Freedom VIP Savings COPD (HMO C-SNP) (H5427-077) (FL) | Tier 4 | No | No | None |
One row per plan — showing 25 of 218 plans; a Yes means the flag applies to at least one form/strength on that plan.
Source: CMS Monthly Prescription Drug Plan Formulary and Pharmacy Network Information — data current through 2026-08-31 (CMS release 2026-08-26, refreshed monthly). Dataset-wide plan-year formulary placement, not a guarantee of your individual benefit — confirm with your plan or pharmacist.
Data: CMS Monthly Part D formulary files · FDA/RxNorm drug identity · CMS NADAC pricing — CMS Part D formulary data current through 2026-08-31 · source
GET https://insurewith.ai/tools/drug-coverage/data.json?drug=ceftolozane-and-tazobactam