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 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. 26 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.
26 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: 4 plans · MD: 17 plans.