A non-government resource built from CMS public data
ELMIRON 100 mg Capsule, Gelatin Coated
Also known as Pentosan Polysulfate Sodium. Coverage in U.S. Virgin Islands (CMS PDP Region 39).
Not on any stand-alone Part D formulary in U.S. Virgin Islands
None of the 1 stand-alone Part D (PDP) plans in CMS PDP Region 39 list this drug. On one of those plans the patient would pay the full retail price, or you would need a formulary exception.