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October 2019

We’ll stop covering 500 mg Zytiga tablets starting Nov. 1

We’ll no longer cover 500 mg Zytiga® (abiraterone) tablets starting Nov. 1, 2019. However, members can continue to fill their prescriptions for 500 mg Zytiga until Jan. 1, 2020. If they fill prescriptions for 500 mg Zytiga tablets on or after this date, they’ll be responsible for the full cost.

Note: Members can continue their current treatment with generic Zytiga 250 mg tablets and may pay less for this prescription than what they pay currently.

The following table includes some information to compare the available strengths of Zytiga.

Zytiga strength Available as generic drug Member cost Number of tablets per day (for 1,000 mg dose)
250 mg Yes Generic specialty copayment 4
500 mg No Full cost (not covered) 2

We’ll let members know about this change and encourage them to speak with their doctor about getting a prescription for 250 mg generic Zytiga tablets and discuss any concerns they may have.

For a complete list of covered drugs, go to bcbsm.com/pharmacy and click Drug lists.

If you have questions, call the Pharmacy Services Clinical Help Desk at 1-800-437-3803 and select Option 1.

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*CPT codes, descriptions and two-digit numeric modifiers only are copyright 2018 American Medical Association. All rights reserved.
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