Adenosinum Triphosphoricum Dinatrum, L-Asparagine (Monohydrate), L-Phenylalanine, Quercetin, Ileum (Suis), Jejunum (Suis), Stomach (Suis), Ascorbicum Acidum, Calcarea Carbonica, Ferrum Iodatum, Tetrac 4 [hp_X]/mL / 6 [hp_C]/mL / 6 [hp_X]/mL / 28 [hp_C]/mL / 6 [hp_C]/mL / 6 [hp_C]/mL / 6 [hp_X]/mL / 3 Medicare Part D Coverage
cover Adenosinum Triphosphoricum Dinatrum, L-Asparagine (Monohydrate), L-Phenylalanine, Quercetin, Ileum (Suis), Jejunum (Suis), Stomach (Suis), Ascorbicum Acidum, Calcarea Carbonica, Ferrum Iodatum, Tetrac
Find the cheapest plan for Adenosinum Triphosphoricum Dinatrum, L-Asparagine (Monohydrate), L-Phenylalanine, Quercetin, Ileum (Suis), Jejunum (Suis), Stomach (Suis), Ascorbicum Acidum, Calcarea Carbonica, Ferrum Iodatum, Tetrac
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Frequently Asked Questions about Adenosinum Triphosphoricum Dinatrum, L-Asparagine (Monohydrate), L-Phenylalanine, Quercetin, Ileum (Suis), Jejunum (Suis), Stomach (Suis), Ascorbicum Acidum, Calcarea Carbonica, Ferrum Iodatum, Tetrac
0% of Medicare Part D plans cover Adenosinum Triphosphoricum Dinatrum, L-Asparagine (Monohydrate), L-Phenylalanine, Quercetin, Ileum (Suis), Jejunum (Suis), Stomach (Suis), Ascorbicum Acidum, Calcarea Carbonica, Ferrum Iodatum, Tetrac. 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 Triphosphoricum Dinatrum, L-Asparagine (Monohydrate), L-Phenylalanine, Quercetin, Ileum (Suis), Jejunum (Suis), Stomach (Suis), Ascorbicum Acidum, Calcarea Carbonica, Ferrum Iodatum, Tetrac varies by plan. Compare plans to find the best tier for your medication.
0% of plans require prior authorization for Adenosinum Triphosphoricum Dinatrum, L-Asparagine (Monohydrate), L-Phenylalanine, Quercetin, Ileum (Suis), Jejunum (Suis), Stomach (Suis), Ascorbicum Acidum, Calcarea Carbonica, Ferrum Iodatum, Tetrac. 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 →