XYREM .5 g/mL Solution
Also known as Sodium Oxybate. Coverage in Texas (CMS PDP Region 22).
Not on any stand-alone Part D formulary in Texas
None of the 12 stand-alone Part D (PDP) plans in CMS PDP Region 22 list this drug. On one of those plans the patient would pay the full retail price, or you would need a formulary exception.
13 Medicare Advantage plans in TX 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. TX: 13 plans.