CLINIMIX 311/238/247/170/255/247/204/179/77/880/438/489/289/213/17/10 mg/100mL/g/100mL Injection
Also known as Leucine, Phenylalanine, Lysine, Methionine, Isoleucine, Valine, Histidine, Threonine, Tryptophan, Alanine, Glycine, Arginine, Proline, Serine, Tyrosine, Dextrose. Coverage in American Samoa (CMS PDP Region 35).
Not on any stand-alone Part D formulary in American Samoa
None of the 1 stand-alone Part D (PDP) plans in CMS PDP Region 35 list this drug. On one of those plans the patient would pay the full retail price, or you would need a formulary exception.