Special Medical Examination
Other
Special Medical Examination is treated with 2 medications in our database, including Plenvu, Indocyanine Green. 2 of these have manufacturer assistance programs available to help reduce out-of-pocket costs. Medications are manufactured by Salix, Diagnostic Green. Patients and caregivers can find copay cards, patient assistance programs, and travel grants for Special Medical Examination treatment below.
What help exists for Special Medical Examination
2
drugs indexed
1
with copay cards
1
with patient assistance
0
open travel grants
Every item below links to the manufacturer's or charity's own portal. RxCopays does not take referral fees.
Drugs used to treat Special Medical Examination
2 totalPlenvu
POLYETHYLENE GLYCOL 3350, SODIUM SULFATE, SODIUM CHLORIDE, POTASSIUM CHLORIDE, ASCORBIC ACID, SODIUM ASCORBATE · Salix
🎟💙Indocyanine Green
Indocyanine Green and Water · Diagnostic Green
🎟 = copay card · 💙 = patient assistance program
Prior authorization patterns for Special Medical Examination drugs
Aggregated from CMS SPUF + commercial PBM formularies. Specific rules vary by plan; confirm with your insurer.
| Payer | PA | Step therapy | Copay tier |
|---|---|---|---|
— Medicare Part D | — | — | — |
— Medicare Part D | — | — | — |