FillMapComplete Gold + Vision + Adult Dental

Does Complete Gold + Vision + Adult Dental cover potassium chloride?

Complete Gold + Vision + Adult Dental
99723-99723MO0110010-0 · ACA · ACA Marketplace
potassium chloride
potassium chlorideunder Complete Gold + Vision + Adult Dental
Covered — some forms require prior authorization
2 of 22 covered forms have a condition attached. Your plan has to approve it first — your doctor’s office handles it.
What you'd pay
$15per 30-day fill

From the first fill — no deductible on this drug.

This is the standard amount. If you qualified for a cost-sharing reduction when you enrolled, set your level above and this will follow it.

Tier
Generic
Approval first
Required
Try another first
No
Amount limit
None
Talk to your pharmacist or doctor before acting on anything here. They can see your full history and this page cannot. Never start, stop, or switch a medication based on it. Coverage rules change and plans make exceptions — your pharmacy can check your exact benefit in seconds.As of Sep 14, 2026 · CMS QHP machine-readable. Reference information, not medical advice and not a price.

Covered forms and strengths (22)

  • 10 ML potassium chloride 2 MEQ/ML Injection
  • 20 ML potassium chloride 2 MEQ/ML Injection
  • 5 ML potassium chloride 2 MEQ/ML Injection
  • 50 ML potassium chloride 0.2 MEQ/ML Injection
  • 50 ML potassium chloride 0.4 MEQ/ML Injection
  • Microencapsulated potassium chloride 10 MEQ Extended Release Oral Tablet
  • Microencapsulated potassium chloride 10 MEQ Extended Release Oral Tablet [Klor-Con]
  • Microencapsulated potassium chloride 15 MEQ Extended Release Oral Tablet
  • Microencapsulated potassium chloride 15 MEQ Extended Release Oral Tablet [Klor-Con]
  • Microencapsulated potassium chloride 20 MEQ Extended Release Oral Tablet
  • Microencapsulated potassium chloride 20 MEQ Extended Release Oral Tablet [Klor-Con]
  • potassium chloride 1.33 MEQ/ML Oral Solution
  • potassium chloride 10 MEQ Extended Release Oral Capsule
  • potassium chloride 10 MEQ Extended Release Oral Tablet
  • potassium chloride 10 MEQ Extended Release Oral Tablet [Klor-Con]
  • potassium chloride 2 MEQ/ML Injectable Solution
  • potassium chloride 20 MEQ Extended Release Oral Tablet
  • potassium chloride 20 MEQ Powder for Oral SolutionApproval first
  • potassium chloride 20 MEQ Powder for Oral Solution [Klor-Con]Approval first
  • potassium chloride 8 MEQ Extended Release Oral Capsule
  • potassium chloride 8 MEQ Extended Release Oral Tablet
  • potassium chloride 8 MEQ Extended Release Oral Tablet [Klor-Con]

← All coverage for potassium chloride