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olmesartan medoxomil / amlodipine besylate / hydrochlorothiazide 5 mg/1 / 25 mg/1 / 40 mg/1 Medicare Part D Coverage

Brand name: Tribenzor
Dosage form
TABLET, FILM COATED
Route
ORAL
Drug class
Diuretics
0%
of Medicare Part D plans
cover olmesartan medoxomil / amlodipine besylate / hydrochlorothiazide
2 of 5,530 plans
1.0
Avg. formulary tier

Formulary Tier Distribution

How Medicare Part D plans classify olmesartan medoxomil / amlodipine besylate / hydrochlorothiazide. Lower tiers = lower copays.

Tier 1 - Preferred Generic 100%
2 plans • avg $0.00/mo

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olmesartan medoxomil / amlodipine besylate / hydrochlorothiazide Medicare Coverage by State

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

New York 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 Amiloride Hydrochloride and Hydrochlorothiazide Avg Tier 1.8 $15.00/mo 5,486 plans Furosemide Avg Tier 1.6 $18.00/mo 5,460 plans

Related Versions of olmesartan medoxomil / amlodipine besylate / hydrochlorothiazide

Tribenzor 10 mg/1 / 12.5 mg/1 / 40 mg/1 Brand Tribenzor 5 mg/1 / 12.5 mg/1 / 20 mg/1 Brand Tribenzor 10 mg/1 / 25 mg/1 / 40 mg/1 Brand Tribenzor 5 mg/1 / 12.5 mg/1 / 40 mg/1 Brand

Frequently Asked Questions about olmesartan medoxomil / amlodipine besylate / hydrochlorothiazide

0% of Medicare Part D plans cover olmesartan medoxomil / amlodipine besylate / hydrochlorothiazide. It is most commonly placed on Tier 1. Coverage varies by plan and geographic area.

Costs vary by plan. Enter your ZIP code above to see exact prices for plans in your area.

olmesartan medoxomil / amlodipine besylate / hydrochlorothiazide is placed on Tier 1 by most Medicare Part D plans. Lower tier numbers generally mean lower copays.

0% of plans require prior authorization for olmesartan medoxomil / amlodipine besylate / 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 →