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Acetaminophen, Dextromethorphan Hydrobromide, Guaifenesin USP, Phenylephrine Hydrochloride 250 mg/10mL / 13.33 mg/10mL / 200 mg/10mL / 5 mg/10mL Medicare Part D Coverage

Brand name: Pentrexcilina Children TOTAL RELIEF Multi-Symptom
Dosage form
SYRUP
Route
ORAL
0%
of Medicare Part D plans
cover Acetaminophen, Dextromethorphan Hydrobromide, Guaifenesin USP, Phenylephrine Hydrochloride

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Frequently Asked Questions about Acetaminophen, Dextromethorphan Hydrobromide, Guaifenesin USP, Phenylephrine Hydrochloride

0% of Medicare Part D plans cover Acetaminophen, Dextromethorphan Hydrobromide, Guaifenesin USP, Phenylephrine Hydrochloride. Coverage varies by plan and geographic area.

Costs vary by plan. Enter your ZIP code above to see exact prices for plans in your area.

The tier placement for Acetaminophen, Dextromethorphan Hydrobromide, Guaifenesin USP, Phenylephrine Hydrochloride varies by plan. Compare plans to find the best tier for your medication.

0% of plans require prior authorization for Acetaminophen, Dextromethorphan Hydrobromide, Guaifenesin USP, Phenylephrine Hydrochloride. Prior authorization means your doctor must confirm the drug is medically necessary before the plan will cover it.

Coverage statistics based on CMS formulary data for plan year 2026. Data updated regularly. Methodology →