Does Prominence Diabetes and Heart Care Plus (HMO C-SNP) cover potassium chloride?
Prominence Diabetes and Heart Care Plus (HMO C-SNP)
H7680-016-0 · MA_LOCAL · Medicare Part D
potassium chloride
Do you get help with your Medicare drug costs?None of these
Optional. Some plans charge less at a preferred pharmacy. Enter your ZIP to see which pharmacies near you take this plan — pick yours and the price above is re-worked for it. Until you do, we show what a standard pharmacy costs. Nothing here is saved.
potassium chlorideunder Prominence Diabetes and Heart Care Plus (HMO C-SNP)
Covered — some forms require prior authorization
2 of 16 covered forms have a condition attached. Your plan has to approve it first — your doctor’s office handles it.
What you'd pay
$0per 30-day fill
Part D caps what you pay out of pocket at $2,100 for 2026. From the first fill — no deductible on this drug.
This plan charges the same at every pharmacy in its network — where you fill it will not change this figure.
- Tier
- Tier 1
- 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 16, 2026 · CMS Part D monthly PUF. Reference information, not medical advice and not a price.
Covered forms and strengths (16)
- 20 ML potassium chloride 2 MEQ/ML InjectionTier 2Approval first
- Microencapsulated potassium chloride 10 MEQ Extended Release Oral TabletTier 2
- Microencapsulated potassium chloride 10 MEQ Extended Release Oral Tablet [Klor-Con]Tier 2
- Microencapsulated potassium chloride 15 MEQ Extended Release Oral TabletTier 2
- Microencapsulated potassium chloride 15 MEQ Extended Release Oral Tablet [Klor-Con]Tier 2
- Microencapsulated potassium chloride 20 MEQ Extended Release Oral TabletTier 2
- Microencapsulated potassium chloride 20 MEQ Extended Release Oral Tablet [Klor-Con]Tier 2
- potassium chloride 1.33 MEQ/ML Oral SolutionTier 4
- potassium chloride 10 MEQ Extended Release Oral CapsuleTier 2
- potassium chloride 10 MEQ Extended Release Oral TabletTier 2
- potassium chloride 15 MEQ Extended Release Oral TabletTier 2
- potassium chloride 2 MEQ/ML Injectable SolutionTier 1Approval first
- potassium chloride 2.67 MEQ/ML Oral SolutionTier 4
- potassium chloride 20 MEQ Extended Release Oral TabletTier 2
- potassium chloride 8 MEQ Extended Release Oral CapsuleTier 2
- potassium chloride 8 MEQ Extended Release Oral TabletTier 2