Bolsitol

Generic: Lactobacillus plantarum

10B CELL — Capsule

DIETARY SUPPLEMENTS

Coverage by Insurer

Informational only — Coverage rules change frequently; verify tier placement and restrictions with your plan or pharmacy before acting.
Source: Excel (XLSX)  ·  Formulary date: Sep 23, 2026  ·  Checked: 6 hours, 17 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
TRICARE Uniform Formulary 2026 Tier 3 - Non-Formulary — — — None
TRICARE Uniform Formulary 2026
via Floresta Bowel Support Probio
Tier 3 - Non-Formulary — — — None
TRICARE Uniform Formulary 2026
via Microvia
Tier 3 - Non-Formulary — — — None
TRICARE Uniform Formulary 2026
via Nugut Bowel Support Probiotic
Tier 3 - Non-Formulary — — — None
TRICARE Uniform Formulary 2026
via Probionyx
Tier 3 - Non-Formulary — — — None
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