amoxicillin/potassium clavulanate

125 mg-31.25 mg/5 mL, 200 mg-28.5 mg/5 mL, 250 mg-125 mg, 250 mg-62.5 mg/5 mL, 400 mg-57 mg/5 mL, 500 mg-125 mg, 600 mg-42.9 mg/5 mL, 875 mg-125 mg — Tablet

ANTIBIOTICS

Also known as: AUGMENTIN AUGMENTIN ES-600 AMOXICILLIN-CLAVULANATE POTASS

Coverage by Insurer

Informational only — Coverage rules change frequently; verify tier placement and restrictions with your plan or pharmacy before acting.
Source: Excel (XLSX)  ·  Formulary date: Jan 5, 2026  ·  Checked: 16 hours, 10 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
TRICARE Uniform Formulary 2026 Tier 1 - Basic Core Formulary None
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