A non-government resource built from CMS public data
MOVIPREP Kit
Also known as Polyethylene Glycol 3350, Sodium Sulfate, Sodium Chloride, Potassium Chloride, Ascorbic Acid, Sodium Ascorbate. Coverage in Louisiana (CMS PDP Region 21).
Not on any stand-alone Part D formulary in Louisiana
None of the 10 stand-alone Part D (PDP) plans in CMS PDP Region 21 list this drug. On one of those plans the patient would pay the full retail price, or you would need a formulary exception.
Medicare Advantage plans
Medicare Advantage plans carry their own formularies, separate from stand-alone Part D, and are sold county by county. Pick a county to see every Medicare Advantage drug plan there that covers this drug.
No Medicare Advantage drug plan in LA lists it either