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Lidocaine HCl 4%, Phenylephrine HCl 0.25% 4 g/100g / .25 g/100g Medicare Part D Coverage

Brand name: LIPOSOMAL HEMORRHOID MASTER
Dosage form
OINTMENT
Route
TOPICAL
0%
of Medicare Part D plans
cover Lidocaine HCl 4%, Phenylephrine HCl 0.25%

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Frequently Asked Questions about Lidocaine HCl 4%, Phenylephrine HCl 0.25%

0% of Medicare Part D plans cover Lidocaine HCl 4%, Phenylephrine HCl 0.25%. 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 Lidocaine HCl 4%, Phenylephrine HCl 0.25% varies by plan. Compare plans to find the best tier for your medication.

0% of plans require prior authorization for Lidocaine HCl 4%, Phenylephrine HCl 0.25%. 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 →