A non-government resource built from CMS public data
SANDIMMUNE 25 mg Capsule, Liquid Filled
Also known as Cyclosporine. Coverage in New Jersey (CMS PDP Region 04).
Not on any stand-alone Part D formulary in New Jersey
None of the 12 stand-alone Part D (PDP) plans in CMS PDP Region 04 list this drug. On one of those plans the patient would pay the full retail price, or you would need a formulary exception.
Medicare Advantage plans
Medicare Advantage plans carry their own formularies, separate from stand-alone Part D, and are sold county by county. Pick a county to see every Medicare Advantage drug plan there that covers this drug.
No Medicare Advantage drug plan in NJ lists it either