Linezolid (generic Zyvox®)
No prior authorization required for:
- Emergency room
- Skilled nursing facility
Injectable auth/billing notes:
Medications billed with miscellaneous codes will be reviewed. Explanatory notes must accompany the claim.
Priority Health Medicare applies CMS local coverage determination criteria when available for Part B drugs.
Notes: 2mg/mL in 100, 200, and 300ml single use bags
Criteria for coverage:
• See PA form for criteria for Commercial, Medicaid