A non-government resource built from CMS public data
MAXITROL 3.5/10000/1 mg/g/[USP'U]/g Ointment
Also known as Neomycin Sulfate, Polymyxin B Sulfate And Dexamethasone. Coverage in Alaska (CMS PDP Region 34).
Not on any stand-alone Part D formulary in Alaska
None of the 9 stand-alone Part D (PDP) plans in CMS PDP Region 34 list this drug. On one of those plans the patient would pay the full retail price, or you would need a formulary exception.