FillMapAZ Blue StandardHealth Bronze Focus

Does AZ Blue StandardHealth Bronze Focus cover tirzepatide?

AZ Blue StandardHealth Bronze Focus
53901-53901AZ1420152-0 · ACA · ACA Marketplace
tirzepatide
tirzepatideunder AZ Blue StandardHealth Bronze Focus
Covered — requires prior authorization
Your plan has to approve it first — your doctor’s office handles it.
What you'd pay

This plan doesn't publish a price for this tier. Your pharmacy can quote it before you fill.

Amount limit applies — you can still fill it, but your plan caps how much you get at a time. This plan's drug list records the cap without stating the amount — your pharmacy can tell you when they fill it.
Tier
Moderate cost share
Approval first
Required
Try another first
No
Amount limit
Yes
Talk to your pharmacist or doctor before acting on anything here. They can see your full history and this page cannot. Never start, stop, or switch a medication based on it. Coverage rules change and plans make exceptions — your pharmacy can check your exact benefit in seconds.As of Sep 14, 2026 · CMS QHP machine-readable. Reference information, not medical advice and not a price.

Covered forms and strengths (24)

  • 0.5 ML tirzepatide 10 MG/ML Auto-Injector [Mounjaro]Approval firstAmount limit
  • 0.5 ML tirzepatide 10 MG/ML Auto-Injector [Zepbound]Approval firstAmount limit
  • 0.5 ML tirzepatide 10 MG/ML Injection [Zepbound]Approval firstAmount limit
  • 0.5 ML tirzepatide 15 MG/ML Auto-Injector [Mounjaro]Approval firstAmount limit
  • 0.5 ML tirzepatide 15 MG/ML Auto-Injector [Zepbound]Approval firstAmount limit
  • 0.5 ML tirzepatide 15 MG/ML Injection [Zepbound]Approval firstAmount limit
  • 0.5 ML tirzepatide 20 MG/ML Auto-Injector [Mounjaro]Approval firstAmount limit
  • 0.5 ML tirzepatide 20 MG/ML Auto-Injector [Zepbound]Approval firstAmount limit
  • 0.5 ML tirzepatide 20 MG/ML Injection [Zepbound]Approval firstAmount limit
  • 0.5 ML tirzepatide 25 MG/ML Auto-Injector [Mounjaro]Approval firstAmount limit
  • 0.5 ML tirzepatide 25 MG/ML Auto-Injector [Zepbound]Approval firstAmount limit
  • 0.5 ML tirzepatide 25 MG/ML Injection [Zepbound]Approval firstAmount limit
  • 0.5 ML tirzepatide 30 MG/ML Auto-Injector [Mounjaro]Approval firstAmount limit
  • 0.5 ML tirzepatide 30 MG/ML Auto-Injector [Zepbound]Approval firstAmount limit
  • 0.5 ML tirzepatide 30 MG/ML Injection [Zepbound]Approval firstAmount limit
  • 0.5 ML tirzepatide 5 MG/ML Auto-Injector [Mounjaro]Approval firstAmount limit
  • 0.5 ML tirzepatide 5 MG/ML Auto-Injector [Zepbound]Approval firstAmount limit
  • 0.5 ML tirzepatide 5 MG/ML Injection [Zepbound]Approval firstAmount limit
  • 2.4 ML tirzepatide 12.5 MG/ML Pen Injector [Zepbound]Approval firstAmount limit
  • 2.4 ML tirzepatide 16.7 MG/ML Pen Injector [Zepbound]Approval firstAmount limit
  • 2.4 ML tirzepatide 20.8 MG/ML Pen Injector [Zepbound]Approval firstAmount limit
  • 2.4 ML tirzepatide 25 MG/ML Pen Injector [Zepbound]Approval firstAmount limit
  • 2.4 ML tirzepatide 4.17 MG/ML Pen Injector [Zepbound]Approval firstAmount limit
  • 2.4 ML tirzepatide 8.33 MG/ML Pen Injector [Zepbound]Approval firstAmount limit

← All coverage for tirzepatide