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 Michigan (CMS PDP Region 13).
Not on any stand-alone Part D formulary in Michigan
None of the 12 stand-alone Part D (PDP) plans in CMS PDP Region 13 list this drug. On one of those plans the patient would pay the full retail price, or you would need a formulary exception.
32 Medicare Advantage plans in MI 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. MI: 32 plans.