CLINIMIX E 311/238/247/170/255/247/204/179/77/880/438/489/289/213/17/297/261/51/77/33/10 mg/100mL/g/100mL Injection
Also known as Leucine, Phenylalanine, Lysine, Methionine, Isoleucine, Valine, Histidine, Threonine, Tryptophan, Alanine, Glycine, Arginine, Proline, Serine, Tyrosine, Sodium Acetate, Dibasic Potassium Phosphate, Magnesium Chloride, Sodium Chloride, Calcium Chloride, Dextrose. Coverage in Puerto Rico (CMS PDP Region 38).
Not on any stand-alone Part D formulary in Puerto Rico
None of the 3 stand-alone Part D (PDP) plans in CMS PDP Region 38 list this drug. On one of those plans the patient would pay the full retail price, or you would need a formulary exception.