PLASMA-LYTE A 526/502/368/37/30 mg/100mL Injection, Solution
Also known as Sodium Chloride, Sodium Gluconate, Sodium Acetate, Potassium Chloride And Magnesium Chloride. Coverage in Alabama and Tennessee (CMS PDP Region 12).
Not on any stand-alone Part D formulary in Alabama and Tennessee
None of the 12 stand-alone Part D (PDP) plans in CMS PDP Region 12 list this drug. On one of those plans the patient would pay the full retail price, or you would need a formulary exception.
38 Medicare Advantage plans in AL, TN do cover it
Medicare Advantage plans carry their own formularies, separate from stand-alone Part D. A patient on an MA-PD plan may have coverage even where no PDP lists the drug. AL: 17 plans · TN: 21 plans.