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dextromethorphan polistirex 30 mg/5mL Medicare Part D Coverage

Brand name: dextromethorphan polistirex extended release
Dosage form
SUSPENSION
Route
ORAL
0%
of Medicare Part D plans
cover dextromethorphan polistirex

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Frequently Asked Questions about dextromethorphan polistirex

0% of Medicare Part D plans cover dextromethorphan polistirex. 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 dextromethorphan polistirex varies by plan. Compare plans to find the best tier for your medication.

0% of plans require prior authorization for dextromethorphan polistirex. 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 →