XULTOPHY 100/3.6 100/3.6 [iU]/mL/mg/mL Injection, Solution
Also known as Insulin Degludec And Liraglutide. Coverage in Delaware, DC and Maryland (CMS PDP Region 05).
Not on any stand-alone Part D formulary in Delaware, DC and Maryland
None of the 10 stand-alone Part D (PDP) plans in CMS PDP Region 05 list this drug. On one of those plans the patient would pay the full retail price, or you would need a formulary exception. 43 Medicare Advantage plans do cover it.
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.
43 Medicare Advantage plans in DC, DE, MD do cover it
A patient on an MA-PD plan may have coverage even where no PDP lists the drug. DC: 5 plans · DE: 16 plans · MD: 22 plans.