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Diphenoxylate Hydrochloride and Atropine Sulfate Medicare Coverage in Louisiana

100%
of plans in Louisiana
cover Diphenoxylate Hydrochloride and Atropine Sulfate
43 of 43 plans
30
Plans shown below

Medicare Plans Covering Diphenoxylate Hydrochloride and Atropine Sulfate in Louisiana

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
Aetna Medicare Dual Care (PPO D-SNP) Lowest Copay $0.00/mo Tier 4 - Non-Preferred Drug $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 →
Healthy Blue Dual Advantage (HMO D-SNP) $0.00/mo Tier 1 - Preferred Generic $0.00 N/A None Details →
AmeriHealth Caritas VIP Care (HMO D-SNP) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Aetna Medicare Dual Extra Care (HMO D-SNP) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
Healthy Blue Dual Advantage 2 (HMO D-SNP) $0.00/mo Tier 1 - Preferred Generic $0.00 N/A None Details →
Aetna Medicare Dual Extra Care (HMO D-SNP) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
Healthy Blue Enhanced Care (HMO D-SNP) $3.70/mo Tier 1 - Preferred Generic $0.00 N/A None Details →
Blue adVantage Dual Plus (HMO-POS D-SNP) $18.20/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
Aetna Medicare Dual Care (HMO D-SNP) $23.30/mo Tier 4 - Non-Preferred Drug $0.00 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 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) $25.60/mo Tier 4 - Non-Preferred Drug $100.00 N/A None Details →
Wellcare Assist (HMO-POS) $31.90/mo Tier 4 - Non-Preferred Drug $100.00 N/A None Details →
Blue adVantage Classic (HMO-POS) $0.00/mo Tier 4 - Non-Preferred Drug 0.5% N/A None Details →
Wellcare Dual Liberty (HMO-POS D-SNP) $0.00/mo Tier 4 - Non-Preferred Drug 0.3% N/A None Details →
Aetna Medicare Signature Care (HMO) $0.00/mo Tier 4 - Non-Preferred Drug 0.3% N/A None Details →
Blue adVantage Classic (HMO-POS) $0.00/mo Tier 4 - Non-Preferred Drug 0.5% N/A None Details →
Wellcare Dual Liberty (HMO-POS D-SNP) $0.00/mo Tier 4 - Non-Preferred Drug 0.3% N/A None Details →
Aetna Medicare Signature Care (PPO) $0.00/mo Tier 4 - Non-Preferred Drug 0.3% N/A None Details →
Wellcare Simple (HMO-POS) $0.00/mo Tier 4 - Non-Preferred Drug 0.4% N/A None Details →
Blue adVantage Liberty (PPO) $0.00/mo Tier 4 - Non-Preferred Drug 0.5% N/A None Details →
Blue adVantage Classic (HMO-POS) $0.00/mo Tier 4 - Non-Preferred Drug 0.5% N/A None Details →
Blue adVantage Thrive (PPO) $0.00/mo Tier 4 - Non-Preferred Drug 0.5% N/A None Details →
Blue adVantage Classic (HMO-POS) $0.00/mo Tier 4 - Non-Preferred Drug 0.5% N/A None Details →
Aetna Medicare Signature Giveback (PPO) $0.00/mo Tier 4 - Non-Preferred Drug 0.3% N/A None Details →
Wellcare Simple (HMO-POS) $0.00/mo Tier 4 - Non-Preferred Drug 0.4% N/A None Details →
Blue adVantage Giveback (HMO-POS) $0.00/mo Tier 4 - Non-Preferred Drug 0.5% N/A None Details →
Aetna Medicare Chronic Care (HMO C-SNP) $0.00/mo Tier 4 - Non-Preferred Drug 0.3% N/A None Details →
Blue adVantage Classic (HMO-POS) $0.00/mo Tier 4 - Non-Preferred Drug 0.5% N/A None Details →

Compare All Louisiana 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 Louisiana 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, Aetna Medicare Dual Care (PPO D-SNP) offers one of the lowest copays for Diphenoxylate Hydrochloride and Atropine Sulfate in Louisiana. Enter your ZIP code to see all plans and compare total annual costs including premiums.

Diphenoxylate Hydrochloride and Atropine Sulfate Coverage in Other States

Click any state to see the plans and costs available there.

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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