MedicarePartD.guide

A non-government resource built from CMS public data

DALVANCE 500 mg/25mL Injection, Powder, For Solution

Also known as Dalbavancin. 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.

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