TRIBENZOR 20/5/12.5 mg Tablet, Film Coated
Also known as Olmesartan Medoxomil / Amlodipine Besylate / Hydrochlorothiazide. Coverage in Iowa, Minnesota, Montana, Nebraska, North Dakota, South Dakota and Wyoming (CMS PDP Region 25).
Not on any stand-alone Part D formulary in Iowa, Minnesota, Montana, Nebraska, North Dakota, South Dakota and Wyoming
None of the 11 stand-alone Part D (PDP) plans in CMS PDP Region 25 list this drug. On one of those plans the patient would pay the full retail price, or you would need a formulary exception.