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sodium chloride, sodium lactate, calcium chloride, magnesium chloride and dextrose 18.4 mg/100mL / 1.5 g/100mL / 5.1 mg/100mL / 538 mg/100mL / 448 mg/100mL Medicare Part D Coverage

Brand name: DIANEAL LOW CALCIUM WITH DEXTROSE
Dosage form
INJECTION, SOLUTION
Route
INTRAPERITONEAL
0%
of Medicare Part D plans
cover sodium chloride, sodium lactate, calcium chloride, magnesium chloride and dextrose

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Frequently Asked Questions about sodium chloride, sodium lactate, calcium chloride, magnesium chloride and dextrose

0% of Medicare Part D plans cover sodium chloride, sodium lactate, calcium chloride, magnesium chloride and dextrose. 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 sodium chloride, sodium lactate, calcium chloride, magnesium chloride and dextrose varies by plan. Compare plans to find the best tier for your medication.

0% of plans require prior authorization for sodium chloride, sodium lactate, calcium chloride, magnesium chloride and dextrose. 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 →