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Diphenoxylate Hydrochloride and Atropine Sulfate Medicare Coverage in Georgia

100%
of plans in Georgia
cover Diphenoxylate Hydrochloride and Atropine Sulfate
78 of 78 plans
$0.04
Avg 30-day copay in Georgia
30
Plans shown below

Medicare Plans Covering Diphenoxylate Hydrochloride and Atropine Sulfate in Georgia

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
Kaiser Permanente Dual Essential Plan 1 (HMO D-SNP) Lowest Copay $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Anthem Medicare Advantage (HMO-POS) $0.00/mo Tier 1 - Preferred Generic $0.00 N/A None Details →
CareSource Dual Advantage (HMO D-SNP) $0.00/mo Tier 1 - Preferred Generic $0.00 N/A None Details →
Kaiser Permanente Senior Advantage Basic 1 (HMO) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
CareSource Dual Advantage Plus (HMO D-SNP) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
Kaiser Permanente Dual Essential Plan 2 (HMO D-SNP) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Anthem Kidney Care (HMO-POS C-SNP) $0.00/mo Tier 1 - Preferred Generic $0.00 N/A None Details →
Kaiser Permanente Senior Advantage Basic 2 (HMO) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Anthem Dual Advantage (HMO D-SNP) $0.00/mo Tier 1 - Preferred Generic $0.00 N/A None Details →
Kaiser Permanente Senior Advantage Care Plus (HMO-POS) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Anthem Full Dual Advantage (HMO D-SNP) $0.00/mo Tier 1 - Preferred Generic $0.00 N/A None Details →
Aetna Medicare Full Dual Care (HMO D-SNP) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
Kaiser Permanente Dual Complete (HMO D-SNP) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
BlueAdvantage Total Heart and Diabetes (PPO C-SNP) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Aetna Medicare Dual Extra Care (HMO D-SNP) $0.40/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
Aetna Medicare Dual Care (HMO D-SNP) $4.80/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
Aetna Medicare Dual Extra (PPO D-SNP) $11.40/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
Kaiser Permanente Senior Advantage Enhanced 1 (HMO) $13.00/mo Tier 2 - Generic $0.00 N/A None Details →
Aetna Medicare Dual Extra Care (PPO D-SNP) $13.70/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
Aetna Medicare Dual Care (PPO D-SNP) $14.60/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
Kaiser Permanente Senior Advantage Standard (HMO) $21.20/mo Tier 2 - Generic $0.00 N/A None Details →
Anthem Extra Help (HMO-POS) $25.40/mo Tier 1 - Preferred Generic $0.00 N/A None Details →
BlueAdvantage Extra (PPO) $27.60/mo Tier 2 - Generic $0.00 N/A None Details →
Anthem Medicare Advantage 2 (PPO) $82.00/mo Tier 1 - Preferred Generic $0.00 N/A None Details →
BlueAdvantage Sapphire (PPO) $0.00/mo Tier 2 - Generic $10.00 N/A None Details →
Wellcare Dual Access (HMO-POS D-SNP) $0.00/mo Tier 4 - Non-Preferred Drug $100.00 N/A None Details →
Wellcare Dual Liberty (HMO-POS D-SNP) $0.00/mo Tier 4 - Non-Preferred Drug $100.00 N/A None Details →
Wellcare Dual Access Open (PPO D-SNP) $0.00/mo Tier 4 - Non-Preferred Drug $100.00 N/A None Details →
Wellcare Dual Access (HMO-POS D-SNP) $0.00/mo Tier 4 - Non-Preferred Drug $100.00 N/A None Details →
Wellcare Dual Reserve (HMO-POS D-SNP) $13.10/mo Tier 4 - Non-Preferred Drug $100.00 N/A None Details →

Compare All Georgia 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 Georgia cover Diphenoxylate Hydrochloride and Atropine Sulfate. There are 30 plans available. Coverage and costs vary by specific plan.

The average 30-day copay for Diphenoxylate Hydrochloride and Atropine Sulfate in Georgia is $0.04 at a preferred pharmacy. Costs vary by plan. Compare plans to find the lowest cost option for you.

Based on current CMS data, Kaiser Permanente Dual Essential Plan 1 (HMO D-SNP) offers one of the lowest copays for Diphenoxylate Hydrochloride and Atropine Sulfate in Georgia. 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 costsNational coverage for Diphenoxylate Hydrochloride and Atropine Sulfate

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