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 South Carolina (CMS PDP Region 09).
Not on any stand-alone Part D formulary in South Carolina
None of the 11 stand-alone Part D (PDP) plans in CMS PDP Region 09 list this drug. On one of those plans the patient would pay the full retail price, or you would need a formulary exception.
20 Medicare Advantage plans in SC 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. SC: 20 plans.