Diphenoxylate Hydrochloride and Atropine Sulfate Medicare Coverage in South Dakota
cover Diphenoxylate Hydrochloride and Atropine Sulfate
Medicare Plans Covering Diphenoxylate Hydrochloride and Atropine Sulfate in South Dakota
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 (PPO D-SNP) Lowest Copay | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Medica Advantage Value (PPO) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Aetna Medicare Full Dual (PPO D-SNP) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Medica Advantage Select (PPO) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Medica Advantage Preferred (PPO) | $29.40/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Medica Prime Solution Thrift w/Rx (Cost) | $43.80/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Medica Prime Solution Standard w/Rx (Cost) | $58.70/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Medica Prime Solution Premier w/Rx (Cost) | $117.70/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Medica Prime Solution Core w/Rx (Cost) | $123.70/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Aetna Medicare Signature (PPO) | $0.00/mo | Tier 4 - Non-Preferred Drug | 0.3% | N/A | None | Details → |
| Aetna Medicare Enhanced Extra (PPO) | $52.00/mo | Tier 4 - Non-Preferred Drug | 0.3% | N/A | None | Details → |
Compare All South Dakota 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 South Dakota cover Diphenoxylate Hydrochloride and Atropine Sulfate. There are 11 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 (PPO D-SNP) offers one of the lowest copays for Diphenoxylate Hydrochloride and Atropine Sulfate in South Dakota. 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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