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 New Jersey (CMS PDP Region 04).
Not on any stand-alone Part D formulary in New Jersey
None of the 12 stand-alone Part D (PDP) plans in CMS PDP Region 04 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 NJ lists it either