FillMapCalOptima Health OneCare Complete (HMO D-SNP)

Does CalOptima Health OneCare Complete (HMO D-SNP) cover amylase / lipase / protease?

CalOptima Health OneCare Complete (HMO D-SNP)
H5433-001-0 · MA_LOCAL · Medicare Part D
amylase / lipase / protease
Your Extra Help level

Everyone on this plan has Medicare and Medicaid, which qualifies you for Extra Help automatically — so the figures below already use the statutory copays, not this plan’s published cost sharing. Nothing here is saved.

Full Extra Help: no deductible, and at most $5.10 generic or $12.65 brand-name per fill.

Optional. Some plans charge less at a preferred pharmacy. Enter your ZIP to see which pharmacies near you take this plan — pick yours and the price above is re-worked for it. Until you do, we show what a standard pharmacy costs. Nothing here is saved.

amylase / lipase / proteaseunder CalOptima Health OneCare Complete (HMO D-SNP)
Covered — requires prior authorization
Your plan has to approve it first — your doctor’s office handles it.
What you'd pay
25%of the price your plan negotiates

Medicare hasn’t published this plan’s negotiated price for this drug yet — that file is updated every three months, and newly launched drugs appear in it late. Your pharmacy can quote the exact amount today. Part D caps what you pay out of pocket at $2,100 for 2026. Before that, you pay the full price until you have paid $615 this year.

This plan charges the same at every pharmacy in its network — where you fill it will not change this figure.

Tier
Tier 2
Approval first
Required
Try another first
No
Amount limit
None
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 16, 2026 · CMS Part D monthly PUF. Reference information, not medical advice and not a price.

Covered forms and strengths (25)

  • amylase 105000 UNT / lipase 25000 UNT / protease 79000 UNT Delayed Release Oral Capsule [Zenpep]Tier 2Approval first
  • amylase 120000 UNT / lipase 24000 UNT / protease 76000 UNT Delayed Release Oral Capsule [Creon]Tier 2Approval first
  • amylase 14000 UNT / lipase 3000 UNT / protease 10000 UNT Delayed Release Oral Capsule [Zenpep]Tier 2Approval first
  • amylase 149900 UNT / lipase 37000 UNT / protease 97300 UNT Delayed Release Oral Capsule [Pancreaze]Tier 2Approval first
  • amylase 15000 UNT / lipase 3000 UNT / protease 9500 UNT Delayed Release Oral Capsule [Creon]Tier 2Approval first
  • amylase 15125 UNT / lipase 4000 UNT / protease 14375 UNT Delayed Release Oral Capsule [Pertzye]Tier 2Approval first
  • amylase 15200 UNT / lipase 2600 UNT / protease 8800 UNT Delayed Release Oral Capsule [Pancreaze]Tier 2Approval first
  • amylase 168000 UNT / lipase 40000 UNT / protease 126000 UNT Delayed Release Oral Capsule [Zenpep]Tier 2Approval first
  • amylase 180000 UNT / lipase 36000 UNT / protease 114000 UNT Delayed Release Oral Capsule [Creon]Tier 2Approval first
  • amylase 24000 UNT / lipase 5000 UNT / protease 17000 UNT Delayed Release Oral Capsule [Zenpep]Tier 2Approval first
  • amylase 24600 UNT / lipase 4200 UNT / protease 14200 UNT Delayed Release Oral Capsule [Pancreaze]Tier 2Approval first
  • amylase 252600 UNT / lipase 60000 UNT / protease 189600 UNT Delayed Release Oral Capsule [Zenpep]Tier 2Approval first
  • amylase 30000 UNT / lipase 6000 UNT / protease 19000 UNT Delayed Release Oral Capsule [Creon]Tier 2Approval first
  • amylase 30250 UNT / lipase 8000 UNT / protease 28750 UNT Delayed Release Oral Capsule [Pertzye]Tier 2Approval first
  • amylase 39150 UNT / lipase 10440 UNT / protease 39150 UNT Oral Tablet [Viokace]Tier 2Approval first
  • amylase 42000 UNT / lipase 10000 UNT / protease 32000 UNT Delayed Release Oral Capsule [Zenpep]Tier 2Approval first
  • amylase 60000 UNT / lipase 12000 UNT / protease 38000 UNT Delayed Release Oral Capsule [Creon]Tier 2Approval first
  • amylase 60500 UNT / lipase 16000 UNT / protease 57500 UNT Delayed Release Oral Capsule [Pertzye]Tier 2Approval first
  • amylase 61500 UNT / lipase 10500 UNT / protease 35500 UNT Delayed Release Oral Capsule [Pancreaze]Tier 2Approval first
  • amylase 63000 UNT / lipase 15000 UNT / protease 47000 UNT Delayed Release Oral Capsule [Zenpep]Tier 2Approval first
  • amylase 78300 UNT / lipase 20880 UNT / protease 78300 UNT Oral Tablet [Viokace]Tier 2Approval first
  • amylase 83900 UNT / lipase 21000 UNT / protease 54700 UNT Delayed Release Oral Capsule [Pancreaze]Tier 2Approval first
  • amylase 84000 UNT / lipase 20000 UNT / protease 63000 UNT Delayed Release Oral Capsule [Zenpep]Tier 2Approval first
  • amylase 90750 UNT / lipase 24000 UNT / protease 86250 UNT Delayed Release Oral Capsule [Pertzye]Tier 2Approval first
  • amylase 98400 UNT / lipase 16800 UNT / protease 56800 UNT Delayed Release Oral Capsule [Pancreaze]Tier 2Approval first

← All coverage for amylase / lipase / protease