calcium chloride 0.2 MG/ML / glucose 50 MG/ML / potassium chloride 1.79 MG/ML / sodium chloride 6 MG/ML / sodium lactate 3.1 MG/ML Injectable Solution
calcium chloride
RxCUI: 847626
What the CMS Formulary Data Shows for calcium chloride 0.2 MG/ML / glucose 50 MG/ML / potassium chloride 1.79 MG/ML / sodium chloride 6 MG/ML / sodium lactate 3.1 MG/ML Injectable Solution
Per the CMS 2026 Part D formulary file, calcium chloride 0.2 MG/ML / glucose 50 MG/ML / potassium chloride 1.79 MG/ML / sodium chloride 6 MG/ML / sodium lactate 3.1 MG/ML Injectable Solution (RxNorm concept RXCUI 847626, generic name calcium chloride) appears on 134 distinct formulary files spanning 2,829 Medicare Part D plan offerings - 55.8% of enrollable Part D products, mid-range placement; shopping across contracts changes access. Tier placement ranges from Tier 1 to Tier 4, with a cross-plan average of Tier 2.8.
Real-world access to calcium chloride 0.2 MG/ML / glucose 50 MG/ML / potassium chloride 1.79 MG/ML / sodium chloride 6 MG/ML / sodium lactate 3.1 MG/ML Injectable Solution depends on utilization management as much as tier placement: 0.7% of covering formularies require prior authorization. 0% require step therapy. 0% apply quantity limits.
Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 108,459 Part D beneficiaries filled calcium chloride 0.2 MG/ML / glucose 50 MG/ML / potassium chloride 1.79 MG/ML / sodium chloride 6 MG/ML / sodium lactate 3.1 MG/ML Injectable Solution in 2023, with total plan-and-beneficiary spending of $35,814,449 and an average per-beneficiary annual cost of $330.21. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry calcium chloride 0.2 MG/ML / glucose 50 MG/ML / potassium chloride 1.79 MG/ML / sodium chloride 6 MG/ML / sodium lactate 3.1 MG/ML Injectable Solution today.
Coverage Details
- Formularies covering
- 134
- Plans covering
- 2,829
- Coverage rate
- 55.8%
- Tier range
- Tier 1 – Tier 4
- Average tier
- Tier 3, Preferred Brand
Restrictions
- Prior authorization required
- 0.7% of formularies
- Step therapy required
- 0% of formularies
- Quantity limits
- 0% of formularies
2023 Medicare Spending
- Beneficiaries
- 108,459
- Total spending
- $35,814,449
- Avg per beneficiary
- $330.21
Tier Distribution Across Plans
Medicare Advantage Plans (MA-PD) Covering calcium chloride 0.2 MG/ML / glucose 50 MG/ML / potassium chloride 1.79 MG/ML / sodium chloride 6 MG/ML / sodium lactate 3.1 MG/ML Injectable Solution
100 Medicare Advantage plans with Part D drug coverage include this drug.
| Plan | Insurer | Tier | PA | Premium | States |
|---|---|---|---|---|---|
| Sentara Community Complete Select (HMO D-SNP) | SENTARA HEALTH PLANS | T1 | No | $0 | VA |
| Sentara Community Complete (HMO D-SNP) | SENTARA HEALTH PLANS | T1 | No | $0 | VA |
| ElderServe MAP (HMO D-SNP) | ELDERSERVE HEALTH, INC. | T1 | No | $0 | NY |
| Cooperative Advantage (HMO D-SNP) | GROUP HEALTH COOPERATIVE OF EAU CLAIRE | T1 | No | $0 | WI |
| Longevity Health Plan (PPO I-SNP) | LONGEVITY HEALTH PLAN OF NEW JERSEY INSURANCE COMP | T1 | No | $0 | NJ |
| Upper Peninsula Health Plan MI Coordinated Health (HMO D-SNP) | UPPER PENINSULA HEALTH PLAN, LLC | T1 | No | $0 | MI |
| CareSource Dual Advantage (HMO D-SNP) | CARESOURCE GEORGIA CO. | T1 | No | $0 | GA |
| HAP CareSource MI Coordinated Health (HMO D-SNP) | HAP CARESOURCE | T1 | No | $0 | MI |
| PruittHealth Premier D-SNP (HMO D-SNP) | PRUITTHEALTH PREMIER, INC. | T1 | No | $0 | GA |
| Simpra Advantage Dual Care (PPO D-SNP) | SIMPRA ADVANTAGE, INC. | T1 | No | $0 | AL |
| CareAdvantage (HMO D-SNP) | SAN MATEO HEALTH COMMISSION | T1 | No | $0 | CA |
| Gold Coast Health Plan Total Care Advantage (HMO D-SNP) | Ventura County Medi-Cal Managed Care Commission | T1 | No | $0 | CA |
| Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP) | Health Care Service Corporation | T1 | No | $0 | NM |
| Blue Cross MA Dual Care Plus Preferred (PPO D-SNP) | Health Care Service Corporation | T1 | No | $0 | NM |
| SecureBlue (HMO D-SNP) | HMO Minnesota | T1 | No | $0 | MN |
| Hamaspik Medicare Choice (HMO D-SNP) | HAMASPIK, INC. | T1 | No | $0 | NY |
| Community Care's Partnership Program (HMO D-SNP) | COMMUNITY CARE HEALTH PLAN, INC. | T1 | No | $0 | WI |
| Humana Dual Integrated (HMO D-SNP) | HUMANA MEDICAL PLAN OF MICHIGAN, INC. | T1 | No | $0 | MI |
| CareOne Plus (HMO-POS) | CAREPLUS HEALTH PLANS, INC. | T1 | No | $0 | FL |
| CareOne Plus (HMO) | CAREPLUS HEALTH PLANS, INC. | T1 | No | $0 | FL |
| CareNeeds Platinum (HMO D-SNP) | CAREPLUS HEALTH PLANS, INC. | T1 | No | $0 | FL |
| CareOne Plus (HMO-POS) | CAREPLUS HEALTH PLANS, INC. | T1 | No | $0 | FL |
| CareOne Plus (HMO-POS) | CAREPLUS HEALTH PLANS, INC. | T1 | No | $0 | FL |
| CareFree Giveback (HMO) | CAREPLUS HEALTH PLANS, INC. | T1 | No | $0 | FL |
| CareNeeds Plus (HMO D-SNP) | CAREPLUS HEALTH PLANS, INC. | T1 | No | $0 | FL |
| CareFree Platinum Giveback (HMO) | CAREPLUS HEALTH PLANS, INC. | T1 | No | $0 | FL |
| CareOne Plus (HMO) | CAREPLUS HEALTH PLANS, INC. | T1 | No | $0 | FL |
| CareFree Platinum Giveback (HMO) | CAREPLUS HEALTH PLANS, INC. | T1 | No | $0 | FL |
| CareOne Plus (HMO) | CAREPLUS HEALTH PLANS, INC. | T1 | No | $0 | FL |
| CareFree Giveback (HMO) | CAREPLUS HEALTH PLANS, INC. | T1 | No | $0 | FL |
| CareFree Platinum Giveback (HMO-POS) | CAREPLUS HEALTH PLANS, INC. | T1 | No | $0 | FL |
| CareFree Platinum Giveback (HMO) | CAREPLUS HEALTH PLANS, INC. | T1 | No | $0 | FL |
| CareFree Platinum Giveback (HMO) | CAREPLUS HEALTH PLANS, INC. | T1 | No | $0 | FL |
| CareFree Platinum Giveback (HMO) | CAREPLUS HEALTH PLANS, INC. | T1 | No | $0 | FL |
| CareAccess (HMO) | CAREPLUS HEALTH PLANS, INC. | T1 | No | $0 | FL |
| CareNeeds Platinum (HMO D-SNP) | CAREPLUS HEALTH PLANS, INC. | T1 | No | $0 | FL |
| CareAccess (HMO) | CAREPLUS HEALTH PLANS, INC. | T1 | No | $0 | FL |
| CareFree Giveback (HMO) | CAREPLUS HEALTH PLANS, INC. | T1 | No | $0 | FL |
| CareNeeds Extra (HMO D-SNP) | CAREPLUS HEALTH PLANS, INC. | T1 | No | $0 | FL |
| CareNeeds Extra (HMO D-SNP) | CAREPLUS HEALTH PLANS, INC. | T1 | No | $0 | FL |
| Humana Gold Plus H1036-025 (HMO) | HUMANA MEDICAL PLAN, INC. | T1 | No | $0 | FL |
| Humana Gold Plus H1036-044 (HMO) | HUMANA MEDICAL PLAN, INC. | T1 | No | $0 | FL |
| Humana Gold Plus H1036-054C (HMO) | HUMANA MEDICAL PLAN, INC. | T1 | No | $0 | FL |
| Humana Gold Plus H1036-062C (HMO) | HUMANA MEDICAL PLAN, INC. | T1 | No | $0 | FL |
| Humana Gold Plus H1036-065C (HMO) | HUMANA MEDICAL PLAN, INC. | T1 | No | $0 | FL |
| Humana Gold Plus H1036-068 (HMO) | HUMANA MEDICAL PLAN, INC. | T1 | No | $0 | FL |
| Humana Gold Plus H1036-074 (HMO) | HUMANA MEDICAL PLAN, INC. | T1 | No | $0 | FL |
| Humana Gold Plus SNP-DE H1036-077A (HMO D-SNP) | HUMANA MEDICAL PLAN, INC. | T1 | No | $0 | FL |
| Humana Gold Plus SNP-DE H1036-102 (HMO D-SNP) | HUMANA MEDICAL PLAN, INC. | T1 | No | $0 | FL |
| Humana Total Complete H1036-143 (HMO) | HUMANA MEDICAL PLAN, INC. | T1 | No | $0 | FL |
Frequently Asked Questions
Is calcium chloride 0.2 MG/ML / glucose 50 MG/ML / potassium chloride 1.79 MG/ML / sodium chloride 6 MG/ML / sodium lactate 3.1 MG/ML Injectable Solution covered by Medicare Part D?
Yes, calcium chloride 0.2 MG/ML / glucose 50 MG/ML / potassium chloride 1.79 MG/ML / sodium chloride 6 MG/ML / sodium lactate 3.1 MG/ML Injectable Solution is covered by 2,829 Medicare Part D plans (55.8% of all Part D formularies).
What tier is calcium chloride 0.2 MG/ML / glucose 50 MG/ML / potassium chloride 1.79 MG/ML / sodium chloride 6 MG/ML / sodium lactate 3.1 MG/ML Injectable Solution on Medicare Part D plans?
calcium chloride 0.2 MG/ML / glucose 50 MG/ML / potassium chloride 1.79 MG/ML / sodium chloride 6 MG/ML / sodium lactate 3.1 MG/ML Injectable Solution averages Tier 2.8 across Part D plans, ranging from Tier 1 to Tier 4.
Does calcium chloride 0.2 MG/ML / glucose 50 MG/ML / potassium chloride 1.79 MG/ML / sodium chloride 6 MG/ML / sodium lactate 3.1 MG/ML Injectable Solution require prior authorization?
0.7% of Part D formularies require prior authorization for calcium chloride 0.2 MG/ML / glucose 50 MG/ML / potassium chloride 1.79 MG/ML / sodium chloride 6 MG/ML / sodium lactate 3.1 MG/ML Injectable Solution. Step therapy: 0%. Quantity limits: 0%.
How much does Medicare spend on calcium chloride 0.2 MG/ML / glucose 50 MG/ML / potassium chloride 1.79 MG/ML / sodium chloride 6 MG/ML / sodium lactate 3.1 MG/ML Injectable Solution?
In 2023, total Medicare Part D spending on calcium chloride 0.2 MG/ML / glucose 50 MG/ML / potassium chloride 1.79 MG/ML / sodium chloride 6 MG/ML / sodium lactate 3.1 MG/ML Injectable Solution was $35,814,449, covering 108,459 beneficiaries. The average spend per beneficiary was $330.21.
Read our methodology - how this data is sourced, computed, and verified.