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magnesium chloride, dextrose anhydrous, lactic acid, sodium chloride, sodium bicarbonate, and potassium chloride 20 g/L / 5.4 g/L / 3.05 g/L / .314 g/L / 2.21 g/L / 7.07 g/L Medicare Part D Coverage

Brand name: PRISMASOL B22GK4/0 B22GK4/0
Dosage form
INJECTION
Route
INTRAVENOUS
0%
of Medicare Part D plans
cover magnesium chloride, dextrose anhydrous, lactic acid, sodium chloride, sodium bicarbonate, and potassium chloride

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Frequently Asked Questions about magnesium chloride, dextrose anhydrous, lactic acid, sodium chloride, sodium bicarbonate, and potassium chloride

0% of Medicare Part D plans cover magnesium chloride, dextrose anhydrous, lactic acid, sodium chloride, sodium bicarbonate, and potassium chloride. 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 magnesium chloride, dextrose anhydrous, lactic acid, sodium chloride, sodium bicarbonate, and potassium chloride varies by plan. Compare plans to find the best tier for your medication.

0% of plans require prior authorization for magnesium chloride, dextrose anhydrous, lactic acid, sodium chloride, sodium bicarbonate, and potassium chloride. 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 →