MedicarePartD.guide

A non-government resource built from CMS public data

PEG-3350, ELECTROLYTES, AND ASCORBATE Kit

Also known as Polyethylene Glycol 3350, Sodium Sulfate, Sodium Chloride, Potassium Chloride, Sodium Ascorbate, And Ascorbic Acid. Coverage in Hawaii (CMS PDP Region 33).

Not on any stand-alone Part D formulary in Hawaii

None of the 8 stand-alone Part D (PDP) plans in CMS PDP Region 33 list this drug. On one of those plans the patient would pay the full retail price, or you would need a formulary exception.

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