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Lidocaine Hydrochloride and Epinephrine Bitartrate 10 ug/mL / 20 mg/mL Medicare Part D Coverage

Brand name: Xylocaine
Dosage form
INJECTION, SOLUTION
Route
SUBMUCOSAL
0%
of Medicare Part D plans
cover Lidocaine Hydrochloride and Epinephrine Bitartrate

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Frequently Asked Questions about Lidocaine Hydrochloride and Epinephrine Bitartrate

0% of Medicare Part D plans cover Lidocaine Hydrochloride and Epinephrine Bitartrate. 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 Hydrochloride and Epinephrine Bitartrate varies by plan. Compare plans to find the best tier for your medication.

0% of plans require prior authorization for Lidocaine Hydrochloride and Epinephrine Bitartrate. 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 →