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Lokelma’s formulary tier isn’t fixed. It varies by insurer and plan. In many plans it’s placed on the Specialty tier or as a non‑preferred/brand tier, which often means higher copays or coinsurance and possible prior authorization. Medicare Part D plans sometimes require a specialty tier with prior authorization as well. To find your exact tier: - Check your plan’s formulary (search for “sodium zirconium cyclosilicate” or “Lokelma”). - Call your plan’s member services (the number on your ID card) to confirm the tier and your cost. - Ask your pharmacist or prescriber if a prior authorization is needed or if alternatives (e.g., patiromer) might be more favorable for your plan. If you share your plan type (e.g., employer plan, Medicare Part D, Medicaid) and plan name, I can give more tailored steps.
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