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Isolyte S pH 7.4

Generic: SODIUM CHLORIDE, SODIUM GLUCONATE, SODIUM ACETATE, POTASSIUM CHLORIDE, MAGNESIUM CHLORIDE, SODIUM PHOSPHATE, DIBASIC, and POTASSIUM PHOSPHATE

Data may be stale·Apr 23, 2026
Manufacturer
B Braun
NDC
0264-7707
RxCUI
800925
Route
INTRAVENOUS
ICD-10 indication
E86.0

Affordability Check

How much will you actually pay for Isolyte S pH 7.4?

In 30 seconds, see every legitimate way to afford Isolyte S pH 7.4 — Medicare copay, manufacturer copay card, Patient Assistance Program, grants, or cash.

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About Isolyte S pH 7.4

What is this medication?

Isolyte S pH 7.4 is a sterile, nonpyrogenic intravenous solution used for fluid and electrolyte replenishment. It contains a balanced mixture of essential minerals including sodium, potassium, magnesium, and chloride. This specific formulation is designed to be isotonic, meaning it has a similar concentration of dissolved particles as human blood, and it is buffered to a physiological pH of 7.4 to closely match the body's natural acid-base balance.

This medication is primarily used to replace water and electrolytes in patients who are unable to maintain adequate oral intake or who have experienced significant fluid loss. It is commonly administered in clinical settings during surgery, after physical trauma, or to treat severe dehydration. Because it includes alkalinizing agents like acetate and gluconate, it also helps in the management of metabolic acidosis by assisting the body in neutralizing excess acid in the bloodstream.

Copay & patient assistance

Detailed copay and financial assistance information is not publicly available for this medication at this time. Please consult your pharmacist or the manufacturer's official patient support program for more details.

External links go directly to the manufacturer's portal. RxCopays does not receive compensation for referrals.

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Conditions we've indexed resources for

Click a condition to see copay cards, grants, and PA rules specific to it. For the full list of FDA-approved indications, see Prescribing information above.

Medicare Part D coverage

How Isolyte S pH 7.4 appears across Medicare Part D plan formularies nationally. Source: CMS monthly Prescription Drug Plan file (2026-08-31).

Covered by plans

67%

3,683 of 5,499 plans

Most common tier

Tier 4

On 71% of covering formularies

Prior authorization required

9%

of covering formularies

TierFormularies on this tierShare
Tier 1 (preferred generic)26
17%
Tier 2 (generic)4
3%
Tier 3 (preferred brand)13
9%
Tier 4 (non-preferred brand)107
71%
Tier 61
1%

Step therapy: 0% of formularies

Quantity limits: 0% of formularies

Coverage breadth: 151 of 65 formularies

How to read this:plans on the same formulary share tier + PA rules. Your specific plan's copay depends on (a) the tier above, (b) your plan's cost-share for that tier, (c) whether you're in the initial coverage phase or past the 2026 $2,000 out-of-pocket cap. For your exact plan, check its Summary of Benefits or log in to your Medicare.gov account. Copay cards don't apply to Medicare (federal law).

Prior authorization & coverage

PayerPAStep therapyCopay tier

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Medicare Part D

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How this page is sourced

  • Drug identity verified against openFDA NDC Directory.
  • Label text (when shown) originates from NLM DailyMed.
  • Copay and assistance URLs verified periodically; if you hit a broken link, tell us.