PYLERA 140/125/125 mg Capsule
Also known as Bismuth Subcitrate Potassium, Metronidazole, And Tetracycline Hydrochloride. Coverage in Connecticut, Massachusetts, Rhode Island and Vermont (CMS PDP Region 02).
Not on any stand-alone Part D formulary in Connecticut, Massachusetts, Rhode Island and Vermont
None of the 11 stand-alone Part D (PDP) plans in CMS PDP Region 02 list this drug. On one of those plans the patient would pay the full retail price, or you would need a formulary exception.