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Phleum pratense, Dactylis glomerata and Anthoxanthum odoratum 33333.333 [BAU]/mL / 33333.333 [BAU]/mL / 33333.333 [BAU]/mL Medicare Part D Coverage

Brand name: T-O-S Standardized Grass Pollen Mix
Dosage form
SOLUTION
Route
INTRADERMAL; PERCUTANEOUS; SUBCUTANEOUS
0%
of Medicare Part D plans
cover Phleum pratense, Dactylis glomerata and Anthoxanthum odoratum

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Frequently Asked Questions about Phleum pratense, Dactylis glomerata and Anthoxanthum odoratum

0% of Medicare Part D plans cover Phleum pratense, Dactylis glomerata and Anthoxanthum odoratum. 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 Phleum pratense, Dactylis glomerata and Anthoxanthum odoratum varies by plan. Compare plans to find the best tier for your medication.

0% of plans require prior authorization for Phleum pratense, Dactylis glomerata and Anthoxanthum odoratum. 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 →