SAFYRAL Kit
Also known as Drospirenone/Ethinyl Estradiol/Levomefolate Calcium And Levomefolate Calcium. Coverage in Idaho and Utah (CMS PDP Region 31).
Not on any stand-alone Part D formulary in Idaho and Utah
None of the 10 stand-alone Part D (PDP) plans in CMS PDP Region 31 list this drug. On one of those plans the patient would pay the full retail price, or you would need a formulary exception. 4 Medicare Advantage plans do cover it.
Medicare Advantage plans
Medicare Advantage plans carry their own formularies, separate from stand-alone Part D, and are sold county by county. Pick a county to see every Medicare Advantage drug plan there that covers this drug.
4 Medicare Advantage plans in UT do cover it
A patient on an MA-PD plan may have coverage even where no PDP lists the drug. UT: 4 plans.