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Glycerin Combination 12 [hp_X]/29.5mL / 10 [hp_X]/29.5mL / 3 [hp_X]/29.5mL / 12 [hp_X]/29.5mL / 3 [hp_X]/29.5mL / 6 [hp_X Medicare Part D Coverage

Brand name: Glycerin Combination 9304 9304
Dosage form
LIQUID
Route
ORAL
0%
of Medicare Part D plans
cover Glycerin Combination

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Frequently Asked Questions about Glycerin Combination

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

0% of plans require prior authorization for Glycerin Combination. 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 →