Diphenoxylate Hydrochloride and Atropine Sulfate Medicare Coverage in Arizona
cover Diphenoxylate Hydrochloride and Atropine Sulfate
Medicare Plans Covering Diphenoxylate Hydrochloride and Atropine Sulfate in Arizona
Sorted by lowest 30-day copay at a preferred pharmacy. Prices shown are estimates from CMS formulary data.
| Plan Name | Monthly Premium | Tier | 30-day Copay | Stars | Restrictions | Action |
|---|---|---|---|---|---|---|
| Banner Medicare Advantage Dual (HMO D-SNP) Lowest Copay | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Wellpoint Medicare Advantage (HMO-POS) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| Gold Heart & Diabetes (HMO-POS C-SNP) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| Gold Dialysis & Kidney (HMO-POS C-SNP) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| Gold Heart & Diabetes (HMO-POS C-SNP) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| Gold Dialysis & Kidney (HMO-POS C-SNP) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| Banner Medicare Advantage Dual (HMO D-SNP) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Banner Medicare Advantage Prime (HMO) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Gold Dialysis & Kidney Complete (HMO-POS C-SNP) | $17.00/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| Wellcare Arizona Complete Health Dual Align (HMO D-SNP) | $0.00/mo | Tier 4 - Non-Preferred Drug | $100.00 | N/A | None | Details → |
| Wellcare Simple Value (HMO) | $0.00/mo | Tier 4 - Non-Preferred Drug | 0.3% | N/A | None | Details → |
| HealthSpring True Choice (PPO) | $0.00/mo | Tier 4 - Non-Preferred Drug | 0.5% | N/A | None | Details → |
| Aetna Medicare Prime Extra (HMO) | $0.00/mo | Tier 4 - Non-Preferred Drug | 0.3% | N/A | None | Details → |
| Wellcare Specialty Simple (HMO C-SNP) | $0.00/mo | Tier 4 - Non-Preferred Drug | 0.4% | N/A | None | Details → |
| Aetna Medicare Elite (PPO) | $0.00/mo | Tier 4 - Non-Preferred Drug | 0.3% | N/A | None | Details → |
| SCAN Classic (HMO) | $0.00/mo | Tier 4 - Non-Preferred Drug | 0.4% | N/A | None | Details → |
| HealthSpring Preferred (HMO) | $0.00/mo | Tier 4 - Non-Preferred Drug | 0.5% | N/A | None | Details → |
| Aetna Medicare Signature Extra (HMO) | $0.00/mo | Tier 4 - Non-Preferred Drug | 0.3% | N/A | None | Details → |
| Wellcare Simple (HMO) | $0.00/mo | Tier 4 - Non-Preferred Drug | 0.3% | N/A | None | Details → |
| Aetna Medicare Signature (PPO) | $0.00/mo | Tier 4 - Non-Preferred Drug | 0.3% | N/A | None | Details → |
| SCAN Balance (HMO C-SNP) | $0.00/mo | Tier 4 - Non-Preferred Drug | 0.4% | N/A | None | Details → |
| HealthSpring Achieve (HMO C-SNP) | $0.00/mo | Tier 4 - Non-Preferred Drug | 0.5% | N/A | None | Details → |
| Aetna Medicare Signature Advantage (HMO) | $0.00/mo | Tier 4 - Non-Preferred Drug | 0.3% | N/A | None | Details → |
| Wellcare Giveback (HMO) | $0.00/mo | Tier 4 - Non-Preferred Drug | 0.4% | N/A | None | Details → |
| SCAN Embrace (HMO-POS I-SNP) | $0.00/mo | Tier 4 - Non-Preferred Drug | 0.4% | N/A | None | Details → |
| HealthSpring Alliance (HMO) | $0.00/mo | Tier 4 - Non-Preferred Drug | 0.5% | N/A | None | Details → |
| Aetna Medicare Prime Chronic Care (HMO C-SNP) | $0.00/mo | Tier 4 - Non-Preferred Drug | 0.3% | N/A | None | Details → |
| Wellcare Specialty Simple (HMO C-SNP) | $0.00/mo | Tier 4 - Non-Preferred Drug | 0.4% | N/A | None | Details → |
| Wellcare Dual Liberty Sync (HMO D-SNP) | $0.00/mo | Tier 4 - Non-Preferred Drug | 0.3% | N/A | None | Details → |
| SCAN Strive (HMO C-SNP) | $0.00/mo | Tier 4 - Non-Preferred Drug | 0.3% | N/A | None | Details → |
Compare All Arizona Plans for Diphenoxylate Hydrochloride and Atropine Sulfate
Enter your exact ZIP code to see plans available in your specific county, ranked by total annual cost.
Frequently Asked Questions
100% of Medicare Part D plans in Arizona cover Diphenoxylate Hydrochloride and Atropine Sulfate. There are 30 plans available. Coverage and costs vary by specific plan.
Costs vary by plan. Compare plans to find the lowest cost option for you.
Based on current CMS data, Banner Medicare Advantage Dual (HMO D-SNP) offers one of the lowest copays for Diphenoxylate Hydrochloride and Atropine Sulfate in Arizona. Enter your ZIP code to see all plans and compare total annual costs including premiums.
Diphenoxylate Hydrochloride and Atropine Sulfate Coverage in Other States
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Coverage data from CMS formulary files for plan year 2026. How we calculate costs • National coverage for Diphenoxylate Hydrochloride and Atropine Sulfate
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