triamterene/hydrochlorothiazide

37.5 mg-25 mg, 75 mg-50 mg — Tablet

Also known as: TRIAMTERENE-HYDROCHLOROTHIAZID MAXZIDE MAXZIDE-25 MG

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: Jan 5, 2026 · Checked: 3 hours, 34 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
TRICARE Uniform Formulary 2026	Tier 1 - Basic Core Formulary	✓	—	—	PA