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 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.
5 Medicare Advantage plans in LA do cover it
Medicare Advantage plans carry their own formularies, separate from stand-alone Part D. A patient on an MA-PD plan may have coverage even where no PDP lists the drug. LA: 5 plans.