A non-government resource built from CMS public data
LIDOCAN III 50 mg/g Patch
Also known as Lidocaine 5%. 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.