ZENPEP (pancrelipase delayed-release capsules) Patient Assistance Program

Don’t let the high cost of brand pancreatic enzyme replacement therapy disrupt your treatment. We help eligible patients access Zenpep (pancrelipase delayed-release capsules) for as little as $69.95 per month through the manufacturer’s Patient Assistance Program.

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Key ​Takeaways:

What Is Zenpep Prescription Assistance Program?

The Zenpep Prescription Assistance Program is a manufacturer-sponsored initiative that provides Zenpep at little or no medication cost to qualifying patients based on income and insurance status. The program is designed for exocrine pancreatic insufficiency patients who are uninsured or underinsured.

Navigating the program on your own means dealing with eligibility verification, gastroenterology/CF center/oncology coordination, prior-authorization documentation, specialty pharmacy logistics, and renewal deadlines.

AffordMyPrescriptions eliminates that burden. For a flat $69.95 per month, our Patient Advocates handle every step of your enrollment, from initial application through ongoing refill coordination and annual re-certification.

Pharmacy Price Comparison

Pharmacy(With Coupon)PrIce (30-Day)*You Save W/ Us
Walgreens

~$1,150

Save ~$1,080/mo

CVS Pharmacy

~$1,200

Save ~$1,130/mo

Walmart 

~$750

Save ~$680/mo

Costco

~$720

Save ~$650/mo

Specialty Pharmacy

~$850

Save ~$780/mo

*Just a heads-up — retail prices are estimates based on public data and vary by pharmacy. AffordMyPrescriptions Advocacy Service bypasses this by using drug manufacturer programs to secure your medication directly at no cost or retail price.

Our Pricing:

$69.95 Per month

1 Medications

$79.95 Per Month

2 Medications

$89.95 Per Month

3 Medications

$99.95 Per Month

4+ Medications

Why choose us For Your Zenpep Prescription Program?

The Patient Assistance Program is free to apply for and provides Zenpep at no medication cost if approved. Our $69.95/month service covers full advocacy.

Enroll

Complete a simple eligibility form so our team can determine if you may qualify for medication assistance programs.

We Advocate

Our specialists help gather documentation, complete applications, and coordinate with program providers.

Receive Medication

Once approved, you may receive your medication through the assistance program while we help manage ongoing paperwork and renewals.

Discount Coupons vs. Patient Assistance Programs

Many patients try discount cards first. Here’s why the Patient Assistance Program through AffordMyPrescriptions is the better long-term solution for Zenpep:

Limitations of Coupons

  • Prices fluctuate — savings aren’t guaranteed month-to-month
  • Copay accumulators may prevent savings from counting toward deductible
  • Coupon cards expire and require constant renewal
  • Still $700–$1,200 per month even with the best discount

  • Can’t be used with Medicare, Medicaid, or government insurance

Advantages of PAP Through Us

  • Fixed $69.95/month — never changes regardless of retail price
  • No expiration — continuous access as long as you qualify
  • Medication supplied directly through the assistance program
  • We manage all paperwork, refills, and annual renewals
  • If denied, we explore alternative savings on your behalf

DO YOU QUALIFY?

Eligibility is generally determined by annual household income and insurance status. Most programs follow guidelines that include limits of up to $40,000 for individuals, $60,000 for couples, and $100,000 for larger families. Because requirements vary by program and household, we encourage you to contact AffordMyPrescriptions directly so we can review your specific situation and determine if you qualify for Zenpep assistance.

Not sure if you qualify?  Our pre-qualification check is completely free. If we can’t help, you won’t be charged.

Understanding Zenpep:

Zenpep (pancrelipase delayed-release capsules) is a pancreatic enzyme replacement therapy (PERT) used to replace deficient pancreatic enzymes in patients with exocrine pancreatic insufficiency (EPI). EPI causes maldigestion and malabsorption — leading to weight loss, steatorrhea (fatty stools), abdominal discomfort, and nutritional deficiencies if untreated.

How Zenpep Works:

Exocrine pancreatic insufficiency occurs when the pancreas fails to produce adequate digestive enzymes, a condition commonly caused by cystic fibrosis, chronic pancreatitis, pancreatic cancer, or Shwachman-Diamond syndrome. Zenpep addresses this by providing a porcine-derived mixture of lipase, protease, and amylase to digest fats, proteins, and carbohydrates. The capsules feature an enteric coating that delays the release of these enzymes until they safely reach the duodenum. To match specific patient needs, Zenpep is manufactured in various strengths ranging from 3,000 to 40,000 lipase units per capsule.

Form and use:

Zenpep capsules must be taken at the start of every meal and snack, with typical dosing ranging from 500 to 2,500 lipase units/kg per meal. The capsules must be swallowed whole, as crushing or chewing them destroys their protective enteric coating. For patients who struggle to swallow capsules, the contents may be sprinkled onto soft, acidic food like applesauce and swallowed immediately without chewing, followed by a drink of fluid. The maximum adult dose is generally capped at 10,000 units/kg/day.

Generic availability:

As of 2026, there is no generic version of Zenpep available in the United States, and no generic delayed-release pancrelipase exists on the market. Other FDA-approved pancrelipase products include Creon, Pancreaze, Pertzye, and Viokace, all of which are brand-name medications. Because of manufacturing differences, these various products are not bioequivalent to one another. Consequently, switching a patient between different brands often requires a completely new dose re-titration process.

Warnings:

Zenpep carries a warning for fibrosing colonopathy, a rare but serious scarring of the ascending colon associated with high doses exceeding the recommended 10,000 lipase units/kg/day for adults. Because the porcine enzymes contain purines, the medication can cause hyperuricemia, uric acid stones, or the worsening of pre-existing gout. Patients may also experience hypersensitivity reactions due to the porcine protein content. Additionally, if the administered dosage of Zenpep is too high, it can lead to severe constipation.

FAQ (Frequently Asked Questions)

How Much Does Zenpep Cost Without Insurance?

Zenpep costs approximately $700–$1,200 per 30-day supply, depending on weight and dose. Through AffordMyPrescriptions, qualifying patients receive Zenpep at no medication cost — our $69.95 monthly fee covers full advocacy and program management.

No. Pancreatic enzyme products are FDA-regulated as new drugs after a 2010 mandate, and no generic versions of delayed-release pancrelipase exist. All available PERT products (Zenpep, Creon, Pancreaze, Pertzye, Viokace) are brand. The PAP, copay programs, and CF Foundation Compass program are the main cost-mitigation paths.

Take at the start of every meal AND every snack. Adult dose typically starts at one or two capsules per meal, titrated based on symptoms and fat absorption. Swallow whole — do not crush or chew (destroys enteric coating). If you can’t swallow capsules, open and sprinkle on soft acidic food (applesauce, baby food fruit) and swallow immediately. Don’t mix with hot food or alkaline foods (these destroy enzymes). Avoid keeping in mouth — enzymes can cause mouth irritation.

Signs of adequate dosing: formed stools (not greasy or oily), weight gain or maintenance, normal growth (children), resolution of bloating/abdominal pain. Signs of inadequate dosing: continued steatorrhea (oily, foul-smelling stools that float), weight loss, abdominal discomfort. Periodic 72-hour fecal fat test may be done to assess absorption. Discuss adjustments with your gastroenterologist or CF team.

Yes. Very high doses (>10,000 lipase units/kg/day in adults; lower in young children) increase the risk of fibrosing colonopathy — a serious narrowing of the colon that can cause obstruction. The right dose is the minimum that achieves adequate digestion. Don’t increase doses on your own without prescriber guidance.

Other pancreatic enzyme replacement products include Creon, Pancreaze, Pertzye (all delayed-release similar to Zenpep), and Viokace (immediate-release, typically used with a PPI to protect from gastric acid). Products are NOT bioequivalent — switching requires re-titration. Some insurance plans prefer specific PERT products; we can help with prior authorization for whichever your prescriber chooses.

If denied, we explore alternatives — switching to a different PERT (Creon, Pancreaze, Pertzye, Viokace) with its own PAP, the manufacturer’s copay program for commercially insured patients, the Cystic Fibrosis Foundation Compass program for CF patients, or independent foundations such as the National Pancreas Foundation, PAN Foundation, or HealthWell Foundation. If we cannot find a path, you won’t be charged our service fee.

Take Control of Your Medication Costs

If you are struggling with the high cost of Zenpep, our team may be able to help you access assistance programs designed to make brand pancreatic enzyme replacement therapy affordable. Check your eligibility today.

Submit Enrollment Form

Start free by filling out a simple online form.

Receive Welcome Call

Our specialist will contact you for a quick welcome call.

We Manage The Process

Our team handles everything, so you can focus on your health.

Receive Welcome Call

We Manage The Process