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 Connecticut, Massachusetts, Rhode Island and Vermont (CMS PDP Region 02).
Not on any stand-alone Part D formulary in Connecticut, Massachusetts, Rhode Island and Vermont
None of the 11 stand-alone Part D (PDP) plans in CMS PDP Region 02 list this drug. On one of those plans the patient would pay the full retail price, or you would need a formulary exception.
9 Medicare Advantage plans in CT, MA, VT 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. CT: 3 plans · MA: 4 plans · VT: 2 plans.