DOXYCYCLINE HYCLATE DELAYED RELEASE 100 mg Tablet, Delayed Release
Also known as Doxycycline Hyclate. Coverage in Wisconsin (CMS PDP Region 16).
Not on any stand-alone Part D formulary in Wisconsin
None of the 10 stand-alone Part D (PDP) plans in CMS PDP Region 16 list this drug. On one of those plans the patient would pay the full retail price, or you would need a formulary exception.
1 Medicare Advantage plan in WI 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. WI: 1 plans.