Zemaira® (alpha1-proteinase inhibitor)

No prior authorization required for:

  • Emergency room
  • Inpatient
  • Skilled nursing facility

For further information, please see the Injectable Drugs page

Code(s):J0256

Benefit: Medical

Notes:Alpha-antitrypsin deficiency

Criteria for coverage:

  • See PA form for criteria for Commercial, Medicaid and Medicare