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Diphenoxylate Hydrochloride and Atropine Sulfate Medicare Coverage in Michigan

100%
of plans in Michigan
cover Diphenoxylate Hydrochloride and Atropine Sulfate
122 of 122 plans
$19.92
Avg 30-day copay in Michigan
30
Plans shown below

Medicare Plans Covering Diphenoxylate Hydrochloride and Atropine Sulfate in Michigan

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
PriorityMedicare D-SNP (HMO D-SNP) Lowest Copay $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
PriorityMedicare Dual Premier (HMO D-SNP) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
HAP CareSource MI Coordinated Health (HMO D-SNP) $0.00/mo Tier 1 - Preferred Generic $0.00 N/A None Details →
Upper Peninsula Health Plan MI Coordinated Health (HMO D-SNP) $0.00/mo Tier 1 - Preferred Generic $0.00 N/A None Details →
PriorityMedicare Dual Premier (HMO D-SNP) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
PriorityMedicare Dual Premier (HMO D-SNP) $0.00/mo Tier 4 - Non-Preferred Drug $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 Full Dual Care (HMO D-SNP) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
HAP Medicare Complete Duals (HMO D-SNP) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
PriorityMedicare Dual Premier (HMO D-SNP) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
Aetna Medicare HIDE (HMO D-SNP) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
HAP Medicare Complete Assist (PPO D-SNP) $8.80/mo Tier 2 - Generic $0.00 N/A None Details →
HAP Medicare Diabetes and Heart (HMO C-SNP) $8.80/mo Tier 2 - Generic $0.00 N/A None Details →
Longevity Health Plan (HMO I-SNP) $8.80/mo Tier 1 - Preferred Generic $0.00 N/A None Details →
Henry Ford Select (HMO) $0.00/mo Tier 2 - Generic $9.00 N/A None Details →
HAP Medicare Connect (HMO) $0.00/mo Tier 2 - Generic $9.00 N/A None Details →
HAP Medicare Superior (HMO) $0.00/mo Tier 2 - Generic $9.00 N/A None Details →
HAP Senior Plus Henry Ford Tiered Access (HMO) $11.30/mo Tier 2 - Generic $9.00 N/A None Details →
HAP Senior Plus (HMO-POS) $13.50/mo Tier 2 - Generic $9.00 N/A None Details →
HAP Senior Plus (PPO) $42.60/mo Tier 2 - Generic $9.00 N/A None Details →
HAP Member Assist (PPO) $8.80/mo Tier 2 - Generic $10.00 N/A None Details →
HAP Medicare Explore (PPO) $0.00/mo Tier 2 - Generic $11.00 N/A None Details →
HAP Medicare Prime (PPO) $0.00/mo Tier 2 - Generic $11.00 N/A None Details →
Wellcare Meridian Dual Align (HMO D-SNP) $0.00/mo Tier 4 - Non-Preferred Drug $100.00 N/A None Details →
Wellcare Dual Reserve (HMO-POS D-SNP) $8.80/mo Tier 4 - Non-Preferred Drug $100.00 N/A None Details →
PriorityMedicare Thrive (PPO) $0.00/mo Tier 4 - Non-Preferred Drug 0.3% N/A None Details →
Medicare Plus Blue Value (PPO) $0.00/mo Tier 4 - Non-Preferred Drug 0.3% N/A None Details →
PriorityMedicare Key (HMO-POS) $0.00/mo Tier 4 - Non-Preferred Drug 0.3% 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 →
PriorityMedicare Smart Savings (HMO-POS) $0.00/mo Tier 4 - Non-Preferred Drug 0.3% N/A None Details →

Compare All Michigan Plans for Diphenoxylate Hydrochloride and Atropine Sulfate

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Frequently Asked Questions

100% of Medicare Part D plans in Michigan 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 Michigan is $19.92 at a preferred pharmacy. Costs vary by plan. Compare plans to find the lowest cost option for you.

Based on current CMS data, PriorityMedicare D-SNP (HMO D-SNP) offers one of the lowest copays for Diphenoxylate Hydrochloride and Atropine Sulfate in Michigan. 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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