MYTESI 125 mg Tablet, Coated
Also known as Crofelemer. Coverage in New York (CMS PDP Region 03).
Not on any stand-alone Part D formulary in New York
None of the 10 stand-alone Part D (PDP) plans in CMS PDP Region 03 list this drug. On one of those plans the patient would pay the full retail price, or you would need a formulary exception.
27 Medicare Advantage plans in NY 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. NY: 27 plans.