Diphenoxylate Hydrochloride and Atropine Sulfate Medicare Coverage in New York
cover Diphenoxylate Hydrochloride and Atropine Sulfate
Medicare Plans Covering Diphenoxylate Hydrochloride and Atropine Sulfate in New York
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 |
|---|---|---|---|---|---|---|
| ElderServe MAP (HMO D-SNP) Lowest Copay | $0.00/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| Medicare Blue Dual (HMO D-SNP) | $0.00/mo | Tier 2 - 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 → |
| VillageCareMAX Medicare Health Advantage Plan (HMO D-SNP) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Anthem HealthPlus Full Dual Advantage LTSS 2 (HMO D-SNP) | $0.00/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| Anthem HealthPlus Full Dual Advantage LTSS (HMO D-SNP) | $0.00/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| Aetna Medicare Partial Dual (HMO D-SNP) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| VillageCareMAX Medicare Total Advantage Plan (HMO D-SNP) | $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 → |
| Anthem HealthPlus Full Dual Advantage (HMO D-SNP) | $0.00/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| Aetna Medicare Partial 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 → |
| VNS Health Total (HMO D-SNP) | $0.00/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| Univera Medicare Dual (HMO D-SNP) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| Independent Health's Encompass 65 RED 042 (HMO) | $40.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| Independent Health's Assure Advantage (HMO C-SNP) | $46.50/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| VNS Health EasyCare Plus (HMO D-SNP) | $51.60/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| Aetna Medicare Longevity (PPO I-SNP) | $58.80/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Independent Health's Medicare Passport Connect (PPO) | $58.80/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| Longevity Health Plan (HMO I-SNP) | $58.80/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| Independent Health's Medicare Family Choice (HMO I-SNP) | $58.80/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| ElderServe Star (HMO I-SNP) | $58.80/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| Independent Health's Encompass 65 RED 044 (HMO) | $95.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| CDPHP Choice Rx (HMO) | $135.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| Independent Health's Encompass 65 RED 043 (HMO) | $190.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| CDPHP Clear Rx (HMO) | $100.00/mo | Tier 2 - Generic | $2.00 | N/A | None | Details → |
| Univera SeniorChoice Advanced (HMO-POS) | $36.90/mo | Tier 2 - Generic | $5.00 | N/A | None | Details → |
| Medicare BlueClassic (PPO) | $51.00/mo | Tier 2 - Generic | $5.00 | N/A | None | Details → |
| Univera SeniorChoice Secure (HMO-POS) | $54.90/mo | Tier 2 - Generic | $5.00 | N/A | None | Details → |
| Univera SeniorChoice Value Plus (HMO-POS) | $58.60/mo | Tier 2 - Generic | $5.00 | N/A | None | Details → |
Compare All New York Plans for Diphenoxylate Hydrochloride and Atropine Sulfate
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Frequently Asked Questions
100% of Medicare Part D plans in New York 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 New York is $6.05 at a preferred pharmacy. Costs vary by plan. Compare plans to find the lowest cost option for you.
Based on current CMS data, ElderServe MAP (HMO D-SNP) offers one of the lowest copays for Diphenoxylate Hydrochloride and Atropine Sulfate in New York. 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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