Diphenoxylate Hydrochloride and Atropine Sulfate Medicare Coverage in West Virginia
cover Diphenoxylate Hydrochloride and Atropine Sulfate
Medicare Plans Covering Diphenoxylate Hydrochloride and Atropine Sulfate in West Virginia
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 → |
| Aetna Medicare Advantra Dual (HMO D-SNP) | $0.00/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| The Health Plan SecureCare SNP (HMO D-SNP) | $17.70/mo | Tier 4 - Non-Preferred Drug | $0.00 | N/A | None | Details → |
| Wellpoint Dual Advantage (HMO D-SNP) | $32.70/mo | Tier 1 - Preferred Generic | $0.00 | N/A | None | Details → |
| Freedom Blue PPO Standard (PPO) | $65.20/mo | Tier 4 - Non-Preferred Drug | $100.00 | N/A | None | Details → |
| Freedom Blue PPO Standard (PPO) | $65.20/mo | Tier 4 - Non-Preferred Drug | $100.00 | N/A | None | Details → |
| The Health Plan SecureChoice - Option II (PPO) | $87.60/mo | Tier 4 - Non-Preferred Drug | $100.00 | N/A | None | Details → |
| The Health Plan SecureCare - Option II (HMO) | $0.00/mo | Tier 4 - Non-Preferred Drug | 0.4% | N/A | None | Details → |
| Complete Blue PPO Signature (PPO) | $0.00/mo | Tier 4 - Non-Preferred Drug | 0.2% | N/A | None | Details → |
| The Health Plan SecureCare Capitol Plan (HMO) | $0.00/mo | Tier 4 - Non-Preferred Drug | 0.4% | N/A | None | Details → |
| The Health Plan SecureChoice Optimum (PPO) | $0.00/mo | Tier 4 - Non-Preferred Drug | 0.4% | N/A | None | Details → |
| Aetna Medicare Advantra Signature (HMO) | $0.00/mo | Tier 4 - Non-Preferred Drug | 0.3% | N/A | None | Details → |
| Complete Blue PPO Distinct (PPO) | $0.00/mo | Tier 4 - Non-Preferred Drug | 0.3% | N/A | None | Details → |
| Aetna Medicare Advantra Elite (HMO) | $0.00/mo | Tier 4 - Non-Preferred Drug | 0.3% | N/A | None | Details → |
| Wellpoint Medicare Advantage (HMO-POS) | $0.00/mo | Tier 4 - Non-Preferred Drug | 0.3% | N/A | None | Details → |
| Complete Blue PPO Distinct (PPO) | $0.00/mo | Tier 4 - Non-Preferred Drug | 0.3% | N/A | None | Details → |
| Complete Blue PPO Signature (PPO) | $0.00/mo | Tier 4 - Non-Preferred Drug | 0.3% | N/A | None | Details → |
| Complete Blue PPO Distinct (PPO) | $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 → |
| Aetna Medicare Advantra Signature Giveback (PPO) | $0.00/mo | Tier 4 - Non-Preferred Drug | 0.3% | N/A | None | Details → |
| Complete Blue PPO Signature (PPO) | $0.00/mo | Tier 4 - Non-Preferred Drug | 0.2% | N/A | None | Details → |
| Complete Blue PPO Merit (PPO) | $0.00/mo | Tier 4 - Non-Preferred Drug | 0.3% | N/A | None | Details → |
| Aetna Medicare Advantra Signature (PPO) | $0.00/mo | Tier 4 - Non-Preferred Drug | 0.3% | N/A | None | Details → |
| Complete Blue PPO Signature (PPO) | $0.00/mo | Tier 4 - Non-Preferred Drug | 0.2% | N/A | None | Details → |
| The Health Plan SecureChoice Reliance (PPO) | $0.70/mo | Tier 4 - Non-Preferred Drug | 0.4% | N/A | None | Details → |
| Aetna Medicare Advantra Enhanced (PPO) | $29.00/mo | Tier 4 - Non-Preferred Drug | 0.3% | N/A | None | Details → |
| Complete Blue PPO Distinct (PPO) | $29.00/mo | Tier 4 - Non-Preferred Drug | 0.3% | N/A | None | Details → |
| Aetna Medicare Premier (PPO) | $73.60/mo | Tier 4 - Non-Preferred Drug | 0.3% | N/A | None | Details → |
Compare All West Virginia 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 West Virginia cover Diphenoxylate Hydrochloride and Atropine Sulfate. There are 28 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 (HMO D-SNP) offers one of the lowest copays for Diphenoxylate Hydrochloride and Atropine Sulfate in West Virginia. 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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