Is Clinimix (alanine and 15 more ingredients) covered by Medicare Part D?
3,197 of 5,052 Medicare Part D plan offerings (63.3%) list Clinimix on their 2026 formulary, most often on tier 4; 97.8% of the formularies that cover it require prior authorization. Part D spending on it was $31 thousand in 2024 for at least 17 people: what plans and patients paid at the pharmacy, before manufacturer rebates (CMS Part D Spending by Drug).
- Plans that cover it
- 63.3%
- 3,197 of 5,052 offerings; the median drug: 76%
- Usual tier
- Tier 4
- from tier 1 to tier 6
- Prior authorization
- 97.8%
- of formularies that cover it; the median drug: 1%
- Quantity limits
- 0%
- of formularies that cover it; the median drug: 30%
Source: CMS Part D formulary file, 2026 second quarter: the formularies in use in 2026. A plan's 2027 formulary can differ; check your own plan's coverage in Medicare Plan Finder.
What does it cost under Part D in 2027?
- Your yearly cap in 2027
- Out-of-pocket spending on covered Part D drugs stops at $2,400 in 2027 ($2,100 in 2026); after that, you pay nothing for covered drugs for the rest of the year.
- The deductible
- A plan's drug deductible is at most $700 in 2027 ($615 in 2026); many plans charge less or none.
Source: CMS, Announcement of calendar year 2027 Part D parameters; Medicare.gov, “How much does Medicare drug coverage cost?” (read Oct. 7, 2026).
How much does Medicare spend on it?
Part D spending by year
17 people filled it under Part D in 2024, in 121 claims. The amounts are what plans and patients paid at the pharmacy, before manufacturer rebates.
Source: CMS Medicare Part D Spending by Drug, 2020 to 2024 (published June 2026). Row used: Clinimix (Aa 4.25 % No.1/Dextrose 5 %), Clinimix (Aa 5 % No.6/Dextrose 15 %), Clinimix (Amino Acid 8 % In D14w).
Which forms and strengths are counted?
- alanine 10.4 mg/ml / arginine 5.75 mg/ml / glucose 150 mg/ml / glycine 5.15 mg/ml / histidine 2.4 mg/ml / isoleucine 3 mg/ml / leucine 3.65 mg/ml / lysine 2.9 mg/ml / methionine 2 mg/ml / phenylalanine 2.8 mg/ml / proline 3.4 mg/ml / serine 2.5 mg/ml / threonine 2.1 mg/ml / tryptophan 0.9 mg/ml / tyrosine 0.2 mg/ml / valine 290 mg/ml injectable solution
- alanine 10.4 mg/ml / arginine 5.75 mg/ml / glucose 200 mg/ml / glycine 5.15 mg/ml / histidine 2.4 mg/ml / isoleucine 3 mg/ml / leucine 3.65 mg/ml / lysine 2.9 mg/ml / methionine 2 mg/ml / phenylalanine 2.8 mg/ml / proline 3.4 mg/ml / serine 2.5 mg/ml / threonine 2.1 mg/ml / tryptophan 0.9 mg/ml / tyrosine 0.2 mg/ml / valine 2.9 mg/ml injectable solution
- alanine 8.8 mg/ml / arginine 4.89 mg/ml / glucose 100 mg/ml / glycine 4.38 mg/ml / histidine 2.04 mg/ml / isoleucine 2.55 mg/ml / leucine 3.11 mg/ml / lysine 2.47 mg/ml / methionine 1.7 mg/ml / phenylalanine 2.38 mg/ml / proline 2.89 mg/ml / serine 2.13 mg/ml / threonine 1.79 mg/ml / tryptophan 0.77 mg/ml / tyrosine 0.17 mg/ml / valine 2.47 mg/ml injectable solution
- alanine 8.8 mg/ml / arginine 4.89 mg/ml / glucose 50 mg/ml / glycine 4.38 mg/ml / histidine 2.04 mg/ml / isoleucine 2.55 mg/ml / leucine 3.11 mg/ml / lysine 2.47 mg/ml / methionine 1.7 mg/ml / phenylalanine 2.38 mg/ml / proline 2.89 mg/ml / serine 2.13 mg/ml / threonine 1.79 mg/ml / tryptophan 0.77 mg/ml / tyrosine 0.17 mg/ml / valine 2.47 mg/ml injectable solution
What else should you check?
- Stand-alone drug plans for 2027Premiums and deductibles
- Drugs Medicare spends the most onThe 2024 spending list
- 2027 costs and limitsDeductibles and out-of-pocket limits
Data, not medical advice. Coverage is the share of plan formularies listing the drug; your plan's formulary, tier and pharmacy decide what you pay.