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Diphenoxylate Hydrochloride and Atropine Sulfate Medicare Coverage in Missouri

100%
of plans in Missouri
cover Diphenoxylate Hydrochloride and Atropine Sulfate
58 of 58 plans
30
Plans shown below

Medicare Plans Covering Diphenoxylate Hydrochloride and Atropine Sulfate in Missouri

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 Full Dual Care (HMO D-SNP) Lowest Copay $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
Anthem Full Dual Advantage 2 (HMO D-SNP) $0.00/mo Tier 1 - Preferred Generic $0.00 N/A None Details →
Healthy Blue Dual (HMO D-SNP) $0.00/mo Tier 1 - Preferred Generic $0.00 N/A None Details →
Aetna Medicare Full Dual (HMO D-SNP) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
Anthem Chronic Care (HMO-POS C-SNP) $0.00/mo Tier 1 - Preferred Generic $0.00 N/A None Details →
Aetna Medicare Full Dual (HMO D-SNP) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
Aetna Medicare Dual Care (HMO D-SNP) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
Aetna Medicare Full Dual (HMO D-SNP) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
Aetna Medicare Dual (HMO D-SNP) $0.00/mo Tier 4 - Non-Preferred Drug $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 Dual (HMO D-SNP) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
Anthem Medicare Advantage (HMO-POS) $0.00/mo Tier 1 - Preferred Generic $0.00 N/A None Details →
Aetna Medicare Dual (HMO D-SNP) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
Anthem Medicare Advantage (HMO-POS) $0.00/mo Tier 1 - Preferred Generic $0.00 N/A None Details →
Essence Advantage (HMO) $0.00/mo Tier 4 - Non-Preferred Drug $75.00 N/A None Details →
Essence Advantage Select (HMO) $0.00/mo Tier 4 - Non-Preferred Drug $75.00 N/A None Details →
Essence Advantage (HMO) $0.00/mo Tier 4 - Non-Preferred Drug $95.00 N/A None Details →
Essence Advantage Plus (HMO) $54.00/mo Tier 4 - Non-Preferred Drug $95.00 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 Open (PPO D-SNP) $0.00/mo Tier 4 - Non-Preferred Drug $100.00 N/A None Details →
Wellcare Dual Reserve (HMO-POS D-SNP) $32.60/mo Tier 4 - Non-Preferred Drug $100.00 N/A None Details →
Aetna Medicare Signature (HMO-POS) $0.00/mo Tier 4 - Non-Preferred Drug 0.3% N/A None Details →
Aetna Medicare Signature (HMO) $0.00/mo Tier 4 - Non-Preferred Drug 0.3% N/A None Details →
HealthSpring Preferred Savings (HMO) $0.00/mo Tier 4 - Non-Preferred Drug 0.5% N/A None Details →
Aetna Medicare Signature (PPO) $0.00/mo Tier 4 - Non-Preferred Drug 0.3% N/A None Details →
Aetna Medicare Signature (HMO-POS) $0.00/mo Tier 4 - Non-Preferred Drug 0.3% N/A None Details →
HealthSpring Preferred (HMO) $0.00/mo Tier 4 - Non-Preferred Drug 0.5% N/A None Details →
Wellcare Giveback (HMO-POS) $0.00/mo Tier 4 - Non-Preferred Drug 0.4% N/A None Details →
Aetna Medicare Signature Extra (HMO-POS) $0.00/mo Tier 4 - Non-Preferred Drug 0.3% N/A None Details →
Aetna Medicare Elite (PPO) $0.00/mo Tier 4 - Non-Preferred Drug 0.3% N/A None Details →

Compare All Missouri 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 Missouri 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 Full Dual Care (HMO D-SNP) offers one of the lowest copays for Diphenoxylate Hydrochloride and Atropine Sulfate in Missouri. 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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