phentermine-topiramate er

11.25-69MG, 15 MG-92MG, 3.75-23 MG, 7.5MG-46MG — CAPSULE,EXTENDED RELEASE MULTIPHASE 24HR

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: 7 hours, 12 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