ACYCLOVIR 50 mg/g Cream
Coverage in Louisiana (CMS PDP Region 21).
Not on any stand-alone Part D formulary in Louisiana
None of the 10 stand-alone Part D (PDP) plans in CMS PDP Region 21 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 LA 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. LA: 1 plans.