diethylpropion hcl er

75 MG — TABLET, EXTENDED RELEASE

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

1 plan

Source: Excel (XLSX) · Formulary date: Sep 23, 2026 · Checked: 4 hours, 29 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
TRICARE Uniform Formulary 2026	Tier 1 - Generic Formulary	✓	—	—	PA PA: TPA - LEGEND ANTI-OBESITY DRUGS REQUIRES PRIOR AUTHORIZATION