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Diphenoxylate Hydrochloride and Atropine Sulfate Medicare Coverage in Washington

100%
of plans in Washington
cover Diphenoxylate Hydrochloride and Atropine Sulfate
51 of 51 plans
$1.33
Avg 30-day copay in Washington
30
Plans shown below

Medicare Plans Covering Diphenoxylate Hydrochloride and Atropine Sulfate in Washington

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
Wellpoint Dual Advantage (HMO D-SNP) Lowest Copay $0.00/mo Tier 1 - Preferred Generic $0.00 N/A None Details →
Kaiser Permanente Senior Advantage Enhanced (HMO-POS) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Community Health Plan of WA Dual Complete (HMO D-SNP) $0.00/mo Tier 4 - Non-Preferred Drug $0.00 N/A None Details →
Kaiser Permanente Senior Advantage Standard (HMO-POS) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Community Health Plan of WA Dual Select (HMO D-SNP) $0.00/mo Tier 4 - Non-Preferred Drug $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 →
Kaiser Permanente Senior Advantage Value (HMO-POS) $0.00/mo Tier 2 - Generic $0.00 N/A None Details →
Kaiser Permanente Medicare Advantage Essential (HMO) $0.00/mo Tier 2 - Generic $5.00 N/A None Details →
Kaiser Permanente Medicare Advantage Optimal (HMO) $60.20/mo Tier 2 - Generic $5.00 N/A None Details →
Kaiser Permanente Medicare Advantage Centennial (HMO) $0.00/mo Tier 2 - Generic $7.00 N/A None Details →
Kaiser Permanente Medicare Advantage Key (HMO) $0.00/mo Tier 2 - Generic $7.00 N/A None Details →
Kaiser Permanente Medicare Advantage Columbia (HMO) $20.90/mo Tier 2 - Generic $7.00 N/A None Details →
Kaiser Permanente Medicare Advantage Essential Thu (HMO) $0.00/mo Tier 2 - Generic $10.00 N/A None Details →
Kaiser Permanente Medicare Advantage Key King (HMO) $0.00/mo Tier 2 - Generic $10.00 N/A None Details →
Kaiser Permanente Medicare Advantage Key Pierce (HMO) $0.00/mo Tier 2 - Generic $10.00 N/A None Details →
Kaiser Permanente Medicare Advantage Anchor (HMO) $0.00/mo Tier 2 - Generic $10.00 N/A None Details →
Kaiser Permanente Medicare Advantage Key Snohomish (HMO) $0.00/mo Tier 2 - Generic $10.00 N/A None Details →
Kaiser Permanente Medicare Advantage Essential Kng (HMO) $0.00/mo Tier 2 - Generic $10.00 N/A None Details →
Kaiser Permanente Medicare Advantage Key Thurston (HMO) $0.00/mo Tier 2 - Generic $10.00 N/A None Details →
Kaiser Permanente Medicare Advantage Essential Pce (HMO) $0.00/mo Tier 2 - Generic $10.00 N/A None Details →
Kaiser Permanente Medicare Advantage Vital Sound (HMO) $0.00/mo Tier 2 - Generic $10.00 N/A None Details →
Kaiser Permanente Medicare Advantage Essential Sno (HMO) $8.10/mo Tier 2 - Generic $10.00 N/A None Details →
Kaiser Permanente Medicare Advantage Harbor (HMO) $51.30/mo Tier 2 - Generic $10.00 N/A None Details →
Wellcare Dual Liberty Sync Open (PPO D-SNP) $0.00/mo Tier 4 - Non-Preferred Drug $100.00 N/A None Details →
Wellcare Dual Liberty Sync (HMO-POS D-SNP) $0.00/mo Tier 4 - Non-Preferred Drug $100.00 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 Reserve (HMO-POS D-SNP) $6.20/mo Tier 4 - Non-Preferred Drug $100.00 N/A None Details →
Aetna Medicare Signature Advantage (HMO) $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 →
Wellcare Dual Access Open (PPO D-SNP) $0.00/mo Tier 4 - Non-Preferred Drug 0.4% N/A None Details →

Compare All Washington Plans for Diphenoxylate Hydrochloride and Atropine Sulfate

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Frequently Asked Questions

100% of Medicare Part D plans in Washington 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 Washington is $1.33 at a preferred pharmacy. Costs vary by plan. Compare plans to find the lowest cost option for you.

Based on current CMS data, Wellpoint Dual Advantage (HMO D-SNP) offers one of the lowest copays for Diphenoxylate Hydrochloride and Atropine Sulfate in Washington. Enter your ZIP code to see all plans and compare total annual costs including premiums.

View national coverage data for Diphenoxylate Hydrochloride and Atropine Sulfate

Diphenoxylate Hydrochloride and Atropine Sulfate Coverage in Other States

Click any state to see the plans and costs available there.

Alabama 100% — Arizona 100% — Arkansas 100% — California 100% avg $0.35/mo Colorado 100% — Connecticut 100% — Delaware 100% — District of Columbia 100% — Florida 100% avg $0.85/mo Georgia 100% avg $0.04/mo Hawaii 100% — Idaho 100% — Illinois 100% — Indiana 100% — Iowa 100% — Kansas 100% — Kentucky 100% — Louisiana 100% — Maine 100% — Maryland 100% avg $24.00/mo Massachusetts 100% — Michigan 100% avg $19.92/mo Minnesota 100% — Mississippi 100% — Missouri 100% — Nebraska 100% — Nevada 100% — New Hampshire 100% — New Jersey 100% — New Mexico 100% — New York 100% avg $6.05/mo North Carolina 100% — North Dakota 100% — Ohio 100% avg $0.84/mo Oklahoma 100% — Oregon 100% avg $20.00/mo Pennsylvania 100% — Puerto Rico 100% — Rhode Island 100% — South Carolina 100% — South Dakota 100% — Tennessee 100% avg $2.22/mo Texas 100% — Utah 100% — Virginia 100% — West Virginia 100% — Wisconsin 100% — Wyoming 100% —

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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