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Amiloride Hydrochloride and Hydrochlorothiazide 5 mg/1 / 50 mg/1 Medicare Part D Coverage

Dosage form
TABLET
Route
ORAL
Drug class
Diuretics
99%
of Medicare Part D plans
cover Amiloride Hydrochloride and Hydrochlorothiazide
5,486 of 5,530 plans
1.8
Avg. formulary tier
$15.00
Median 30-day copay
$0.00–$30.00
Copay range

Formulary Tier Distribution

How Medicare Part D plans classify Amiloride Hydrochloride and Hydrochlorothiazide. Lower tiers = lower copays.

Tier 1 - Preferred Generic 20%
1,105 plans • avg $0.03/mo
Tier 2 - Generic 80%
4,375 plans • avg $1.63/mo
Tier 3 - Preferred Brand 0%
4 plans • avg $0.00/mo
Tier 4 - Non-Preferred Drug 0%
1 plans • avg $0.00/mo
Tier 6 - Select Care 0%
1 plans • avg $0.00/mo

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Amiloride Hydrochloride and Hydrochlorothiazide Medicare Coverage by State

Coverage rates and average costs vary significantly by state. Click a state to see the specific plans available there.

Alabama 100% avg $0.76 Arizona 100% avg $0.37 Arkansas 100% avg $0.69 California 100% avg $0.69 Colorado 100% avg $0.92 Connecticut 100% avg $0.67 Delaware 100% avg $1.04 District of Columbia 100% avg $1.33 Florida 100% avg $0.15 Georgia 100% avg $0.86 Hawaii 100% Idaho 100% avg $0.68 Illinois 100% avg $0.66 Indiana 100% avg $0.04 Iowa 100% avg $0.04 Kansas 100% avg $0.08 Kentucky 100% avg $0.08 Louisiana 100% avg $5.98 Maine 100% avg $0.17 Maryland 100% avg $0.33 Massachusetts 100% avg $1.52 Michigan 100% avg $4.92 Minnesota 100% avg $1.22 Mississippi 100% avg $0.39 Missouri 100% avg $0.33 Montana 100% avg $0.62 Nebraska 100% Nevada 100% avg $0.40 New Hampshire 100% New Jersey 100% avg $0.49 New Mexico 100% avg $0.42 New York 100% avg $1.36 North Carolina 100% avg $1.24 North Dakota 100% avg $1.10 Ohio 100% avg $1.32 Oklahoma 100% avg $1.14 Oregon 100% avg $1.33 Pennsylvania 100% avg $0.51 Puerto Rico 100% Rhode Island 100% South Carolina 100% avg $0.66 South Dakota 100% avg $1.44 Tennessee 100% avg $1.11 Texas 100% avg $1.01 Utah 100% avg $0.91 Vermont 100% Virginia 100% avg $0.06 Washington 100% avg $0.38 West Virginia 100% avg $1.46 Wisconsin 100% avg $0.70 Wyoming 100%

Alternative Medications in the Same Drug Class

Other drugs in the Diuretics that Medicare Part D plans also cover.

Hydrochlorothiazide Avg Tier 1.2 $18.00/mo 5,529 plans valsartan and hydrochlorothiazide Avg Tier 2.1 $15.00/mo 5,527 plans valsartan and hydrochlorothiazide Avg Tier 2.1 $15.00/mo 5,527 plans valsartan and hydrochlorothiazide Avg Tier 2.1 $15.00/mo 5,527 plans valsartan and hydrochlorothiazide Avg Tier 2.1 $15.00/mo 5,527 plans Metolazone Avg Tier 2.1 $15.00/mo 5,494 plans Furosemide Avg Tier 1.6 $18.00/mo 5,460 plans Irbesartan and Hydrochlorothiazide Avg Tier 2.1 $15.00/mo 5,412 plans

Frequently Asked Questions about Amiloride Hydrochloride and Hydrochlorothiazide

99% of Medicare Part D plans cover Amiloride Hydrochloride and Hydrochlorothiazide. It is most commonly placed on Tier 2. Coverage varies by plan and geographic area.

The median 30-day copay for Amiloride Hydrochloride and Hydrochlorothiazide on Medicare Part D is $15.00 at a preferred pharmacy. Costs range from $0.00 to $30.00 depending on the plan.

Amiloride Hydrochloride and Hydrochlorothiazide is placed on Tier 2 by most Medicare Part D plans. Lower tier numbers generally mean lower copays.

0% of plans require prior authorization for Amiloride Hydrochloride and Hydrochlorothiazide. Prior authorization means your doctor must confirm the drug is medically necessary before the plan will cover it.

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Coverage statistics based on CMS formulary data for plan year 2026. Data updated regularly. Methodology →