FillMapKP HI Standard Gold 2000/30 · 60612-60612HI0110018-0About this plan

Does KP HI Standard Gold 2000/30 cover Dianeal PD-2/1.5?

1 · Your plan

KP HI Standard Gold 2000/30

60612-60612HI0110018-0 · ACA · ACA Marketplace

2 · Your medication

Dianeal PD-2/1.5

Dianeal PD-2/1.5under KP HI Standard Gold 2000/30

Covered — just walk in

Nothing to clear first — take the prescription to an in-network pharmacy.

What you'd pay

$30per 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: Preferred brand
Approval first: Not needed
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.

Your cost-sharing levelMarketplace plans publish a different amount for each level. Your eligibility notice says which applies. Nothing here is saved.

Covered forms and strengths (3)

calcium chloride 0.00014 MEQ/ML / glucose 0.6 MG/ML / magnesium chloride 0.0000245 MEQ/ML / sodium chloride 0.00368 MEQ/ML / sodium lactate 0.0016 MEQ/ML Intraperitoneal Solution [Dianeal PD-2/1.5]
calcium chloride 0.00014 MEQ/ML / glucose 1 MG/ML / magnesium chloride 0.0000245 MEQ/ML / sodium chloride 0.00368 MEQ/ML / sodium lactate 0.0016 MEQ/ML Intraperitoneal Solution [Dianeal PD-2/2.5]
calcium chloride 0.00014 MEQ/ML / glucose 1.7 MG/ML / magnesium chloride 0.0000245 MEQ/ML / sodium chloride 0.00368 MEQ/ML / sodium lactate 0.0016 MEQ/ML Intraperitoneal Solution [Dianeal PD-2/4.25]

← All coverage for Dianeal PD-2/1.5