Glycerin, hypromellose, polyethylene glycol 400, tetrahydrozoline HCl, zinc sulfate .2 g/100mL / .36 g/100mL / 1 g/100mL / .05 g/100mL / .25 g/100mL Medicare Part D Coverage
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Frequently Asked Questions about Glycerin, hypromellose, polyethylene glycol 400, tetrahydrozoline HCl, zinc sulfate
0% of Medicare Part D plans cover Glycerin, hypromellose, polyethylene glycol 400, tetrahydrozoline HCl, zinc sulfate. 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, hypromellose, polyethylene glycol 400, tetrahydrozoline HCl, zinc sulfate varies by plan. Compare plans to find the best tier for your medication.
0% of plans require prior authorization for Glycerin, hypromellose, polyethylene glycol 400, tetrahydrozoline HCl, zinc sulfate. 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 →