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Dextrose, Sodium Acetate, Potassium Chloride, Magnesium Chloride, and Potassium Phosphate, Dibasic Medicare Coverage in Massachusetts

100%
of plans in Massachusetts
cover Dextrose, Sodium Acetate, Potassium Chloride, Magnesium Chloride, and Potassium Phosphate, Dibasic
54 of 54 plans
30
Plans shown below

Medicare Plans Covering Dextrose, Sodium Acetate, Potassium Chloride, Magnesium Chloride, and Potassium Phosphate, Dibasic 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
AARP Medicare Advantage from UHC MA-0003 (HMO-POS) Lowest Copay $0.00/mo Tier 4 - Non-Preferred Drug $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 →
UHC One Care MA-Y3 (HMO D-SNP) $0.00/mo Tier 4 - Non-Preferred Drug $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 General Brigham SCO (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 →
UHC Senior Care Options NHC MA-Y002 (HMO D-SNP) $0.00/mo Tier 4 - Non-Preferred Drug $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 →
CCA One Care (HMO D-SNP) $0.00/mo Tier 1 - Preferred 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 →
AARP Medicare Advantage CareFlex from UHC MA-9 (HMO-POS) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
HumanaChoice Giveback H7617-046 (PPO) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
HumanaChoice Giveback H5216-138 (PPO) $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 →
HumanaChoice H5216-249 (PPO) $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 →
Humana Direct Choice Giveback (PPO) $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 →
NaviCare (HMO D-SNP) $0.00/mo Tier 1 - Preferred Generic $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 →
CCA Senior Care Options (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 →
Fallon Medicare Plus Orange (HMO) $0.00/mo Tier 6 - Select Care $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 →
AARP Medicare Advantage from UHC MA-0006 (PPO) $45.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
AARP Medicare Advantage from UHC MA-0006 (PPO) $48.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
Fallon Medicare Plus Green (HMO) $56.40/mo Tier 6 - Select Care $0.00 N/A None Details →
Fallon Medicare Plus Green (HMO) $56.40/mo Tier 6 - Select Care $0.00 N/A None Details →
Fallon Medicare Plus Green (HMO) $56.40/mo Tier 6 - Select Care $0.00 N/A None Details →
Mass General Brigham Advantage Secure (HMO-POS) $62.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →

Compare All Massachusetts Plans for Dextrose, Sodium Acetate, Potassium Chloride, Magnesium Chloride, and Potassium Phosphate, Dibasic

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Frequently Asked Questions

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

Costs vary by plan. Compare plans to find the lowest cost option for you.

Based on current CMS data, AARP Medicare Advantage from UHC MA-0003 (HMO-POS) offers one of the lowest copays for Dextrose, Sodium Acetate, Potassium Chloride, Magnesium Chloride, and Potassium Phosphate, Dibasic in Massachusetts. Enter your ZIP code to see all plans and compare total annual costs including premiums.

Dextrose, Sodium Acetate, Potassium Chloride, Magnesium Chloride, and Potassium Phosphate, Dibasic Coverage in Other States

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Coverage data from CMS formulary files for plan year 2026. How we calculate costsNational coverage for Dextrose, Sodium Acetate, Potassium Chloride, Magnesium Chloride, and Potassium Phosphate, Dibasic

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