MedicarePartD.guide

A non-government resource built from CMS public data

ELMIRON 100 mg Capsule, Gelatin Coated

Also known as Pentosan Polysulfate Sodium. 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.

See coverage in all 39 regions →