Diphenoxylate-Atropine

2.5-0.025/5 Ml — Tablet

Also known as: diphenoxylate-atropine oral liquid diphenoxylate-atropine oral tablet Diphenoxylate-Atropine 2.5-0.025/5 Ml Oral Solution Diphenoxylate-Atropine 2.5-0.025 Mg Tablet

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Coverage by Insurer

Informational only — Coverage rules change frequently; verify tier placement and restrictions with your plan or pharmacy before acting.

Cigna

1 plan

Source: PDF · Formulary date: Jan 1, 2026 · Checked: 6 hours, 32 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
Cigna Plus NC 4-Tier Formulary 2026	Tier 1 - Generic	—	—	—	None

UnitedHealthcare

1 plan

Source: PDF · Formulary date: Jan 1, 2026 · Checked: 6 hours, 32 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
UnitedHealthcare NC Individual & Family 2026	Tier 2 - Lower Cost	—	—	—	None