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Dextrose and Sodium Chloride Medicare Coverage in Massachusetts

100%
of plans in Massachusetts
cover Dextrose and Sodium Chloride
73 of 73 plans
$1.85
Avg 30-day copay in Massachusetts
30
Plans shown below

Medicare Plans Covering Dextrose and Sodium Chloride in Massachusetts

Sorted by lowest 30-day copay at a preferred pharmacy. Prices shown are estimates from CMS formulary data.

Plan Name Monthly Premium Tier 30-day Copay Stars Restrictions Action
Tufts Health One Care (HMO D-SNP) Lowest Copay $0.00/mo Tier 1 - Preferred Generic $0.00 N/A None Details →
UHC Senior Care Options MA-Y001 (HMO D-SNP) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
HumanaChoice H5216-249 (PPO) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Erickson Advantage Guardian (HMO-POS I-SNP) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
Mass General Brigham SCO (HMO D-SNP) $0.00/mo Tier 1 - Preferred Generic $0.00 N/A None Details →
Tufts Health One Care CW (HMO D-SNP) $0.00/mo Tier 1 - Preferred Generic $0.00 N/A None Details →
Tufts Medicare Preferred HMO Basic Rx (HMO) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
HumanaChoice Giveback H7617-046 (PPO) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
UHC Senior Care Options NHC MA-Y002 (HMO D-SNP) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
Humana Direct Choice Giveback (PPO) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
CCA One Care (HMO D-SNP) $0.00/mo Tier 1 - Preferred Generic $0.00 N/A None Details →
Mass General Brigham Advantage (PPO) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
Mass Advantage Basic (HMO) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
UHC Complete Care MA-7 (HMO-POS C-SNP) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
Mass General Brigham One Care (HMO D-SNP) $0.00/mo Tier 1 - Preferred Generic $0.00 N/A None Details →
Molina One Care (HMO D-SNP) $0.00/mo Tier 1 - Preferred Generic $0.00 N/A None Details →
AARP Medicare Advantage from UHC MA-0003 (HMO-POS) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
Senior Whole Health SCO (HMO D-SNP) $0.00/mo Tier 1 - Preferred Generic $0.00 N/A None Details →
UHC One Care MA-Y3 (HMO D-SNP) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
Tufts Health Plan Senior Care Options (HMO D-SNP) $0.00/mo Tier 1 - Preferred Generic $0.00 N/A None Details →
AARP Medicare Advantage from UHC MA-0003 (HMO-POS) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
Senior Whole Health SCO NHC (HMO D-SNP) $0.00/mo Tier 1 - Preferred Generic $0.00 N/A None Details →
UHC One Care MA-Y4 (HMO D-SNP) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
Mass Advantage Premiere (PPO) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
Tufts Health Plan Senior Care Options CW (HMO D-SNP) $0.00/mo Tier 1 - Preferred Generic $0.00 N/A None Details →
AARP Medicare Advantage CareFlex from UHC MA-9 (HMO-POS) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
CCA Senior Care Options (HMO D-SNP) $0.00/mo Tier 1 - Preferred Generic $0.00 N/A None Details →
HumanaChoice Giveback H5216-138 (PPO) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Mass Advantage Extra (PPO) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
Erickson Advantage Liberty (HMO-POS) $14.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →

Compare All Massachusetts Plans for Dextrose and Sodium Chloride

Enter your exact ZIP code to see plans available in your specific county, ranked by total annual cost.

Frequently Asked Questions

100% of Medicare Part D plans in Massachusetts cover Dextrose and Sodium Chloride. There are 30 plans available. Coverage and costs vary by specific plan.

The average 30-day copay for Dextrose and Sodium Chloride in Massachusetts is $1.85 at a preferred pharmacy. Costs vary by plan. Compare plans to find the lowest cost option for you.

Based on current CMS data, Tufts Health One Care (HMO D-SNP) offers one of the lowest copays for Dextrose and Sodium Chloride in Massachusetts. Enter your ZIP code to see all plans and compare total annual costs including premiums.

Dextrose and Sodium Chloride Coverage in Other States

Click any state to see the plans and costs available there.

Coverage data from CMS formulary files for plan year 2026. How we calculate costsNational coverage for Dextrose and Sodium Chloride

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