ADENOSINUM CICLOPHOSPHORICUM - LILIUM TIGRINUM - MELATONIN - SUS SCROFA ADRENAL GLAND - SUS SCROFA CORPUS LUTEUM - SUS SCROFA HYPOTHALAMUS - SUS SCROFA OVARY - SUS SCROFA PANCREAS - SUS SCROFA PINEAL 6 [hp_X]/30mL / 6 [hp_X]/30mL / 200 [hp_X]/30mL / 30 [hp_X]/30mL / 30 [hp_X]/30mL / 30 [hp_X]/30mL / Medicare Part D Coverage
cover ADENOSINUM CICLOPHOSPHORICUM - LILIUM TIGRINUM - MELATONIN - SUS SCROFA ADRENAL GLAND - SUS SCROFA CORPUS LUTEUM - SUS SCROFA HYPOTHALAMUS - SUS SCROFA OVARY - SUS SCROFA PANCREAS - SUS SCROFA PINEAL
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Frequently Asked Questions about ADENOSINUM CICLOPHOSPHORICUM - LILIUM TIGRINUM - MELATONIN - SUS SCROFA ADRENAL GLAND - SUS SCROFA CORPUS LUTEUM - SUS SCROFA HYPOTHALAMUS - SUS SCROFA OVARY - SUS SCROFA PANCREAS - SUS SCROFA PINEAL
0% of Medicare Part D plans cover ADENOSINUM CICLOPHOSPHORICUM - LILIUM TIGRINUM - MELATONIN - SUS SCROFA ADRENAL GLAND - SUS SCROFA CORPUS LUTEUM - SUS SCROFA HYPOTHALAMUS - SUS SCROFA OVARY - SUS SCROFA PANCREAS - SUS SCROFA PINEAL . 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 ADENOSINUM CICLOPHOSPHORICUM - LILIUM TIGRINUM - MELATONIN - SUS SCROFA ADRENAL GLAND - SUS SCROFA CORPUS LUTEUM - SUS SCROFA HYPOTHALAMUS - SUS SCROFA OVARY - SUS SCROFA PANCREAS - SUS SCROFA PINEAL varies by plan. Compare plans to find the best tier for your medication.
0% of plans require prior authorization for ADENOSINUM CICLOPHOSPHORICUM - LILIUM TIGRINUM - MELATONIN - SUS SCROFA ADRENAL GLAND - SUS SCROFA CORPUS LUTEUM - SUS SCROFA HYPOTHALAMUS - SUS SCROFA OVARY - SUS SCROFA PANCREAS - SUS SCROFA PINEAL . 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 →