Medicare Part D coverage · {2 · RxCUI 1001690

{2 (480 ML) (magnesium sulfate 0.0277 MEQ/ML / potassium sulfate 0.0374 MEQ/ML / sodium sulfate 0.257 MEQ/ML Oral Solution) } Pack [Suprep Bowel Prep Kit]

Per the CMS 2026 Part D formulary file, {2 (480 ML) (magnesium sulfate 0.0277 MEQ/ML / potassium sulfate 0.0374 MEQ/ML / sodium sulfate 0.257 MEQ/ML Oral Solution) } Pack [Suprep Bowel Prep Kit] is covered by 739 Medicare Part D plans (14.6% of enrollable products), averaging Tier 3.5, with prior authorization required on 0% of covering formularies.

14.6%
Plan coverage
739
Plans covering
T3.5
Avg tier
0%
Prior auth required

Verify with CMS →

Important: Drug coverage and costs vary by plan and location. Verify coverage directly with your Medicare plan before filling a prescription. This is informational data only and should not replace advice from your healthcare provider or pharmacist.

What the CMS Formulary Data Shows for {2 (480 ML) (magnesium sulfate 0.0277 MEQ/ML / potassium sulfate 0.0374 MEQ/ML / sodium sulfate 0.257 MEQ/ML Oral Solution) } Pack [Suprep Bowel Prep Kit]

Per the CMS 2026 Part D formulary file, {2 (480 ML) (magnesium sulfate 0.0277 MEQ/ML / potassium sulfate 0.0374 MEQ/ML / sodium sulfate 0.257 MEQ/ML Oral Solution) } Pack [Suprep Bowel Prep Kit] (RxNorm concept RXCUI 1001690, generic name {2) appears on 19 distinct formulary files spanning 739 Medicare Part D plan offerings - 14.6% of enrollable Part D products, selective placement; verify formulary inclusion before enrolling. Tier placement ranges from Tier 1 to Tier 4, with a cross-plan average of Tier 3.5.

Real-world access to {2 (480 ML) (magnesium sulfate 0.0277 MEQ/ML / potassium sulfate 0.0374 MEQ/ML / sodium sulfate 0.257 MEQ/ML Oral Solution) } Pack [Suprep Bowel Prep Kit] depends on utilization management as much as tier placement: 0% of covering formularies require prior authorization. 0% require step therapy. 0% apply quantity limits.

Medicare Part D spending dashboard figures are not published for this drug. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry {2 (480 ML) (magnesium sulfate 0.0277 MEQ/ML / potassium sulfate 0.0374 MEQ/ML / sodium sulfate 0.257 MEQ/ML Oral Solution) } Pack [Suprep Bowel Prep Kit] today.

Coverage Details

Formularies covering
19
Plans covering
739
Coverage rate
14.6%
Tier range
Tier 1 – Tier 4
Average tier
Tier 3, Preferred Brand

Restrictions

Prior authorization required
0% of formularies
Step therapy required
0% of formularies
Quantity limits
0% of formularies

Tier Distribution Across Plans

2 plans
Tier 1, Preferred Generic
45 plans
Tier 3, Preferred Brand
53 plans
Tier 4, Non-Preferred

Medicare Advantage Plans (MA-PD) Covering {2 (480 ML) (magnesium sulfate 0.0277 MEQ/ML / potassium sulfate 0.0374 MEQ/ML / sodium sulfate 0.257 MEQ/ML Oral Solution) } Pack [Suprep Bowel Prep Kit]

100 Medicare Advantage plans with Part D drug coverage include this drug.

Plan Insurer Tier PA Premium States
Hamaspik Medicare Choice (HMO D-SNP) Hamaspik, Inc. T1 No $0 NY
Hamaspik Medicare Select (HMO D-SNP) Hamaspik, Inc. T1 No $34.50 NY
Select Health Medicare Essential (HMO) Selecthealth, Inc. T3 No $0 UT
Select Health Medicare Essential (HMO) Selecthealth, Inc. T3 No $0 NV
Select Health Medicare Dual (HMO D-SNP) Selecthealth, Inc. T3 No $0 UT
Select Health Medicare Essential (HMO) Selecthealth, Inc. T3 No $0 UT
Select Health Medicare + Kroger (HMO) Selecthealth, Inc. T3 No $0 NV
Select Health Medicare + Kroger (HMO) Selecthealth, Inc. T3 No $0 UT
Select Health Medicare Essential (HMO) Selecthealth, Inc. T3 No $0 CO
Select Health Medicare Essential (HMO) Selecthealth, Inc. T3 No $0 CO
Select Health Medicare + Kroger (HMO) Selecthealth, Inc. T3 No $0 CO
Select Health Medicare Flex (HMO) Selecthealth, Inc. T3 No $0 CO
Select Health Medicare + Kroger (HMO) Selecthealth, Inc. T3 No $0 CO
Select Health Medicare Active (HMO) Selecthealth, Inc. T3 No $0 CO
Select Health Medicare Dual (HMO D-SNP) Selecthealth, Inc. T3 No $0 NV
Select Health Medicare Wellness (HMO) Selecthealth, Inc. T3 No $0 NV
Health New England Medicare Compass (PPO) Health NEW England, Inc. T3 No $0 MA
Health New England Medicare Value (HMO) Health NEW England, Inc. T3 No $0 MA
Healthy Mississippi Premier Advantage (HMO-POS) Healthy Mississippi, Inc. T3 No $0 MS
Prominence Plus (HMO) Prominence Healthfirst T3 No $0 NV
Show the next 30 plans
Prominence Plus (HMO) Prominence Healthfirst T3 No $0 NV
Prominence Dual (HMO D-SNP) Prominence Healthfirst T3 No $0 NV
Prominence Dual (HMO D-SNP) Prominence Healthfirst T3 No $0 NV
Prominence Giveback (HMO) Prominence Healthfirst T3 No $0 NV
Prominence Plus (HMO) Prominence Healthfirst OF Florida Inc T3 No $0 FL
Prominence Giveback (HMO) Prominence Healthfirst OF Florida Inc T3 No $0 FL
Prominence Plus (HMO) Prominence Healthfirst OF Texas T3 No $0 TX
Prominence Plus (HMO) Prominence Healthfirst OF Texas T3 No $0 TX
Prominence Dual (HMO D-SNP) Prominence Healthfirst OF Texas T3 No $0 TX
Prominence Extra Help (HMO) Prominence Healthfirst OF Texas T3 No $0 TX
Prominence Beyond (HMO) Prominence Healthfirst OF Texas T3 No $0 TX
Prominence Giveback (HMO) Prominence Healthfirst OF Texas T3 No $0 TX
Prominence Giveback (HMO) Prominence Healthfirst OF Texas T3 No $0 TX
Prominence Dual (HMO D-SNP) Prominence Healthfirst OF Texas T3 No $0 TX
Prominence Beyond (HMO-POS) Prominence Healthfirst OF Texas T3 No $0 TX
Prominence Dual (HMO D-SNP) Prominence Healthfirst OF Florida Inc T3 No $0 FL
Prominence Diabetes and Heart Giveback (HMO C-SNP) Prominence Healthfirst T3 No $0 NV
Prominence Diabetes and Heart Giveback (HMO C-SNP) Prominence Healthfirst OF Florida Inc T3 No $0 FL
Prominence Diabetes and Heart Giveback (HMO C-SNP) Prominence Healthfirst OF Texas T3 No $0 TX
Prominence Diabetes and Heart Care Plus (HMO C-SNP) Prominence Healthfirst OF Texas T3 No $0 TX
Prominence Diabetes and Heart Giveback (HMO C-SNP) Prominence Healthfirst OF Texas T3 No $0 TX
Prominence Extra Help (HMO) Prominence Healthfirst T3 No $4.20 NV
Prominence Extra Help (HMO) Prominence Healthfirst OF Florida Inc T3 No $4.80 FL
Prominence Extra Help (HMO) Prominence Healthfirst OF Texas T3 No $4.80 TX
Prominence Extra Help (HMO) Prominence Healthfirst T3 No $9.50 NV
Health New England Medicare Premium (HMO) Health NEW England, Inc. T3 No $15.80 MA
Health New England Medicare Plus (HMO) Health NEW England, Inc. T3 No $58.40 MA
Aetna Medicare Signature (HMO) Aetna Health OF California Inc. T4 No $0 CA
Aetna Medicare Signature (HMO) Aetna Health OF California Inc. T4 No $0 CA
Aetna Medicare Signature Extra (HMO-POS) Aetna Health OF California Inc. T4 No $0 CA

Showing top 50 of 100 plans.

Frequently Asked Questions

Is {2 (480 ML) (magnesium sulfate 0.0277 MEQ/ML / potassium sulfate 0.0374 MEQ/ML / sodium sulfate 0.257 MEQ/ML Oral Solution) } Pack [Suprep Bowel Prep Kit] covered by Medicare Part D?

Yes, {2 (480 ML) (magnesium sulfate 0.0277 MEQ/ML / potassium sulfate 0.0374 MEQ/ML / sodium sulfate 0.257 MEQ/ML Oral Solution) } Pack [Suprep Bowel Prep Kit] is covered by 739 Medicare Part D plans (14.6% of all Part D formularies).

What tier is {2 (480 ML) (magnesium sulfate 0.0277 MEQ/ML / potassium sulfate 0.0374 MEQ/ML / sodium sulfate 0.257 MEQ/ML Oral Solution) } Pack [Suprep Bowel Prep Kit] on Medicare Part D plans?

{2 (480 ML) (magnesium sulfate 0.0277 MEQ/ML / potassium sulfate 0.0374 MEQ/ML / sodium sulfate 0.257 MEQ/ML Oral Solution) } Pack [Suprep Bowel Prep Kit] averages Tier 3.5 across Part D plans, ranging from Tier 1 to Tier 4.

Does {2 (480 ML) (magnesium sulfate 0.0277 MEQ/ML / potassium sulfate 0.0374 MEQ/ML / sodium sulfate 0.257 MEQ/ML Oral Solution) } Pack [Suprep Bowel Prep Kit] require prior authorization?

0% of Part D formularies require prior authorization for {2 (480 ML) (magnesium sulfate 0.0277 MEQ/ML / potassium sulfate 0.0374 MEQ/ML / sodium sulfate 0.257 MEQ/ML Oral Solution) } Pack [Suprep Bowel Prep Kit]. Step therapy: 0%. Quantity limits: 0%.

Nationwide similar Part D drugs

Data-derived peers across the CMS Part D formulary extract: nearest average tier placement and nearest prior-authorization rate. Not therapeutic alternatives or same-generic strengths.

Data sourced from the Centers for Medicare & Medicaid Services (CMS). See our methodology for details. Retrieved and formatted by PlainMedicare