Payer PolicyActive
Zinplava™ (bezlotoxumab)
EVICORE-MEDICAL_DRUG-7847921F
EviCore by Evernorth
Effective: October 1, 2024
Updated: January 13, 2026
created · Dec 4, 2025
Policy Summary
Zinplava (bezlotoxumab) is covered only as a single 10 mg/kg IV infusion (over 60 minutes) to reduce recurrence of CDI in patients ≥1 year old who are currently receiving antibacterial therapy for CDI and are at high risk for recurrence; repeat dosing and prior bezlotoxumab recipients are excluded. Key requirements: documented current CDI with concurrent antibacterial treatment, age ≥1 year, documented high risk for recurrence, no prior bezlotoxumab, and approval limited to one 10 mg/kg dose.
Coverage Criteria Preview
Key requirements from the full policy
"Reduce recurrence of Clostridioides difficile infection (CDI) in adults and pediatric patients 1 year of age and older who are receiving antibacterial drug treatment for CDI and are at high risk fo..."
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