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Diphenoxylate Hydrochloride and Atropine Sulfate Medicare Coverage in Tennessee

100%
of plans in Tennessee
cover Diphenoxylate Hydrochloride and Atropine Sulfate
56 of 56 plans
$2.22
Avg 30-day copay in Tennessee
30
Plans shown below

Medicare Plans Covering Diphenoxylate Hydrochloride and Atropine Sulfate in Tennessee

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 (HMO D-SNP) Lowest Copay $0.00/mo Tier 1 - Preferred Generic $0.00 N/A None Details →
Wellpoint Full Dual Advantage 2 (HMO D-SNP) $0.00/mo Tier 1 - Preferred Generic $0.00 N/A None Details →
Wellpoint Extra Help (HMO-POS) $0.00/mo Tier 1 - Preferred Generic $0.00 N/A None Details →
Wellpoint Medicare Advantage (HMO-POS) $0.00/mo Tier 1 - Preferred Generic $0.00 N/A None Details →
BlueCare Plus (HMO D-SNP) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
BlueAdvantage Total Heart and Diabetes (PPO C-SNP) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
BlueCare Plus Choice (HMO D-SNP) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
BlueAdvantage Total Heart and Diabetes (PPO C-SNP) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
BlueCare Plus Select (HMO D-SNP) $0.00/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
Wellpoint Full Dual Advantage Support (HMO D-SNP) $0.00/mo Tier 1 - Preferred Generic $0.00 N/A None Details →
HealthSpring Primary (HMO) $17.70/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
HealthSpring Primary (HMO) $23.90/mo Tier 3 - Preferred Brand $0.00 N/A None Details →
BlueAdvantage Extra (PPO) $27.60/mo Tier 2 - Generic $0.00 N/A None Details →
BlueAdvantage Total Heart and Diabetes Plus (PPO C-SNP) $27.70/mo Tier 2 - Generic $0.00 N/A None Details →
BlueAdvantage Ruby (PPO) $46.00/mo Tier 2 - Generic $5.00 N/A None Details →
BlueAdvantage Diamond (PPO) $88.50/mo Tier 2 - Generic $5.00 N/A None Details →
BlueAdvantage Ruby (PPO) $89.00/mo Tier 2 - Generic $5.00 N/A None Details →
BlueAdvantage Diamond (PPO) $89.40/mo Tier 2 - Generic $5.00 N/A None Details →
BlueAdvantage Ruby (PPO) $92.00/mo Tier 2 - Generic $5.00 N/A None Details →
BlueAdvantage Diamond (PPO) $102.80/mo Tier 2 - Generic $5.00 N/A None Details →
BlueAdvantage Ruby (PPO) $107.00/mo Tier 2 - Generic $5.00 N/A None Details →
BlueAdvantage Sapphire (PPO) $0.00/mo Tier 2 - Generic $10.00 N/A None Details →
BlueAdvantage Sapphire (PPO) $0.00/mo Tier 2 - Generic $10.00 N/A None Details →
BlueAdvantage Sapphire (PPO) $0.00/mo Tier 2 - Generic $10.00 N/A None Details →
BlueAdvantage Garnet (PPO) $0.00/mo Tier 2 - Generic $10.00 N/A None Details →
BlueAdvantage Garnet (PPO) $0.00/mo Tier 2 - Generic $10.00 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 Assist (HMO-POS) $23.90/mo Tier 4 - Non-Preferred Drug $100.00 N/A None Details →
HealthSpring Achieve (HMO C-SNP) $0.00/mo Tier 4 - Non-Preferred Drug 0.5% N/A None Details →
HealthSpring Preferred (HMO) $0.00/mo Tier 4 - Non-Preferred Drug 0.5% N/A None Details →

Compare All Tennessee 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 Tennessee 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 Tennessee is $2.22 at a preferred pharmacy. Costs vary by plan. Compare plans to find the lowest cost option for you.

Based on current CMS data, Wellpoint Full Dual Advantage (HMO D-SNP) offers one of the lowest copays for Diphenoxylate Hydrochloride and Atropine Sulfate in Tennessee. 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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