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Pancreaze — Point32Health

exocrine pancreatic insufficiency

Preferred products

  • Creon
  • Zenpep

Initial criteria

  • The patient has had a trial of both Step-1 medications (Creon AND Zenpep) as evidenced by a previous paid claim under the prescription benefit administered by the plan within the previous 999 days
  • OR The patient has had a trial of both Step-1 medications as evidenced by physician’s documented use, excluding the use of samples
  • OR The patient has a physician documented contraindication or intolerance to ALL Step-1 medications