A non-government resource built from CMS public data
PLENVU Kit
Also known as Polyethylene Glycol 3350, Sodium Sulfate, Sodium Chloride, Potassium Chloride, Ascorbic Acid, Sodium Ascorbate. Coverage in Guam (CMS PDP Region 36).
Not on any stand-alone Part D formulary in Guam
None of the 1 stand-alone Part D (PDP) plans in CMS PDP Region 36 list this drug. On one of those plans the patient would pay the full retail price, or you would need a formulary exception.