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 Wisconsin (CMS PDP Region 16).
Not on any stand-alone Part D formulary in Wisconsin
None of the 10 stand-alone Part D (PDP) plans in CMS PDP Region 16 list this drug. On one of those plans the patient would pay the full retail price, or you would need a formulary exception.
14 Medicare Advantage plans in WI 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. WI: 14 plans.