Maxzide

Generic: triamterene/hydrochlorothiazide

37.5-25 MG, 75 MG-50MG — Tablet

Potassium-sparing Diuretic

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: Sep 23, 2026  ·  Checked: 4 hours, 30 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
TRICARE Uniform Formulary 2026
via triamterene/hydrochlorothiazide
Tier 1 - Generic Formulary (Basic Core) ✓ — — PA PA: TPA - ALDACTONE TABLET FOR MALE PTS 11 THRU 18 YRS OF AGE W/O QUALIFIERS IN 360 DAYS REQ PA
TRICARE Uniform Formulary 2026 Tier 2 - Brand Formulary ✓ — — PA PA: TPA - ALDACTONE TABLET FOR MALE PTS 11 THRU 18 YRS OF AGE W/O QUALIFIERS IN 360 DAYS REQ PA
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