Diphenoxylate Hydrochloride and Atropine Sulfate Medicare Coverage in New Jersey
cover Diphenoxylate Hydrochloride and Atropine Sulfate
Medicare Plans Covering Diphenoxylate Hydrochloride and Atropine Sulfate in New Jersey
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 |
|---|---|---|---|---|---|---|
| Wellpoint Full Dual Advantage Secure (HMO-POS D-SNP) Lowest Copay | $0.00/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| Longevity Health Plan (PPO I-SNP) | $0.00/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| Wellpoint Full Dual Advantage (HMO D-SNP) | $0.00/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| Aetna Medicare FIDE (HMO D-SNP) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Wellpoint Kidney Care (HMO-POS C-SNP) | $0.00/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| Longevity Health Plan (PPO I-SNP) | $40.00/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| Wellcare Fidelis Dual Align (HMO D-SNP) | $0.00/mo | Tier 4 - Non-Preferred Drug | $100.00 | N/A | None | Details → |
| Wellcare Assist (HMO-POS) | $45.20/mo | Tier 4 - Non-Preferred Drug | $100.00 | N/A | None | Details → |
| Aetna Medicare Prime (PPO) | $0.00/mo | Tier 4 - Non-Preferred Drug | 0.3% | N/A | None | Details → |
| Wellcare Low Premium (HMO-POS) | $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 Prime (HMO-POS) | $0.00/mo | Tier 4 - Non-Preferred Drug | 0.3% | N/A | None | Details → |
| Aetna Medicare Signature Extra (HMO) | $0.00/mo | Tier 4 - Non-Preferred Drug | 0.3% | N/A | None | Details → |
| Wellcare Giveback (HMO-POS) | $0.00/mo | Tier 4 - Non-Preferred Drug | 0.4% | N/A | None | Details → |
| Wellcare Simple (HMO-POS) | $0.00/mo | Tier 4 - Non-Preferred Drug | 0.4% | 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 Giveback (PPO) | $0.00/mo | Tier 4 - Non-Preferred Drug | 0.3% | N/A | None | Details → |
| Aetna Medicare Elite (HMO) | $15.00/mo | Tier 4 - Non-Preferred Drug | 0.3% | N/A | None | Details → |
| Aetna Medicare Elite (PPO) | $54.00/mo | Tier 4 - Non-Preferred Drug | 0.3% | N/A | None | Details → |
| Aetna Medicare Enhanced (PPO) | $60.00/mo | Tier 4 - Non-Preferred Drug | 0.3% | N/A | None | Details → |
| Aetna Medicare Prime Extra (PPO) | $74.00/mo | Tier 4 - Non-Preferred Drug | 0.3% | N/A | None | Details → |
| Aetna Medicare Enhanced Extra (PPO) | $81.60/mo | Tier 4 - Non-Preferred Drug | 0.3% | N/A | None | Details → |
| Aetna Medicare Enhanced (HMO-POS) | $83.00/mo | Tier 4 - Non-Preferred Drug | 0.3% | N/A | None | Details → |
| Aetna Medicare Enhanced Advantage (PPO) | $91.00/mo | Tier 4 - Non-Preferred Drug | 0.3% | N/A | None | Details → |
| Aetna Medicare Signature (PPO) | $94.00/mo | Tier 4 - Non-Preferred Drug | 0.3% | N/A | None | Details → |
| Aetna Medicare Enhanced Extra (PPO) | $94.00/mo | Tier 4 - Non-Preferred Drug | 0.3% | N/A | None | Details → |
| Aetna Medicare Signature (HMO) | $105.00/mo | Tier 4 - Non-Preferred Drug | 0.3% | N/A | None | Details → |
Compare All New Jersey Plans for Diphenoxylate Hydrochloride and Atropine Sulfate
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Frequently Asked Questions
100% of Medicare Part D plans in New Jersey cover Diphenoxylate Hydrochloride and Atropine Sulfate. There are 27 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, Wellpoint Full Dual Advantage Secure (HMO-POS D-SNP) offers one of the lowest copays for Diphenoxylate Hydrochloride and Atropine Sulfate in New Jersey. 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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