COMPLETE NATAL DHA

Coverage by Insurer

Informational only — Coverage rules change frequently; verify tier placement and restrictions with your plan or pharmacy before acting.

Cigna

40 plans

Source: PDF · Formulary date: Oct 15, 2026 · Checked: 20 hours, 7 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
Connect Gold 1500 Indiv Med Deductible	Tier 1 - Preferred Generic	—	—	—	None
Connect Bronze 5500 Indiv Med Deductible via Wesnatal Dha Complete	Tier 1 - Preferred Generic	—	—	—	None
Connect Silver 5000 Indiv Med Deductible via Wesnatal Dha Complete	Tier 1 - Preferred Generic	—	—	—	None
Connect Silver 3600 Indiv Med Deductible via Wesnatal Dha Complete	Tier 1 - Preferred Generic	—	—	—	None
Connect Silver 3000 Indiv Med Deductible via Wesnatal Dha Complete	Tier 1 - Preferred Generic	—	—	—	None
Connect Bronze 5500 Indiv Med Deductible	Tier 1 - Preferred Generic	—	—	—	None
Connect Silver 5000 Indiv Med Deductible	Tier 1 - Preferred Generic	—	—	—	None
Connect Silver 3600 Indiv Med Deductible	Tier 1 - Preferred Generic	—	—	—	None
Connect Silver 3000 Indiv Med Deductible	Tier 1 - Preferred Generic	—	—	—	None
Connect myDiabetesCare Bronze	Tier 1 - Preferred Generic	—	—	—	None
Connect myDiabetesCare Silver	Tier 1 - Preferred Generic	—	—	—	None
Connect Bronze 6500 Indiv Med Deductible via Wesnatal Dha Complete	Tier 1 - Preferred Generic	—	—	—	None
Connect Bronze RD 5000 Indiv Med Deductible	Tier 1 - Preferred Generic	—	—	—	None
Connect Bronze RD 6000 Indiv Med Deductible	Tier 1 - Preferred Generic	—	—	—	None
Connect Silver RD 3500 Indiv Med Deductible	Tier 1 - Preferred Generic	—	—	—	None
Connect Silver RD 5000 Indiv Med Deductible	Tier 1 - Preferred Generic	—	—	—	None
Connect Silver RD 2200 Indiv Med Deductible	Tier 1 - Preferred Generic	—	—	—	None
Connect Bronze 7000 HSA Indiv Med Deductible	Tier 1 - Preferred Generic	—	—	—	None
Connect myDiabetesCare Bronze via Wesnatal Dha Complete	Tier 1 - Preferred Generic	—	—	—	None
Connect myDiabetesCare Silver via Wesnatal Dha Complete	Tier 1 - Preferred Generic	—	—	—	None
Connect Gold 1500 Indiv Med Deductible via Wesnatal Dha Complete	Tier 1 - Preferred Generic	—	—	—	None
Connect Bronze RD 5000 Indiv Med Deductible via Wesnatal Dha Complete	Tier 1 - Preferred Generic	—	—	—	None
Connect Bronze RD 6000 Indiv Med Deductible via Wesnatal Dha Complete	Tier 1 - Preferred Generic	—	—	—	None
Connect Silver RD 3500 Indiv Med Deductible via Wesnatal Dha Complete	Tier 1 - Preferred Generic	—	—	—	None
Connect Silver RD 5000 Indiv Med Deductible via Wesnatal Dha Complete	Tier 1 - Preferred Generic	—	—	—	None
Connect Silver RD 2200 Indiv Med Deductible via Wesnatal Dha Complete	Tier 1 - Preferred Generic	—	—	—	None
Connect Bronze 7000 HSA Indiv Med Deductible via Wesnatal Dha Complete	Tier 1 - Preferred Generic	—	—	—	None
Connect Bronze 6500 Indiv Med Deductible	Tier 1 - Preferred Generic	—	—	—	None
Connect Bronze CMS Standard	Tier 2 - Generic	—	—	—	None
Connect Silver CMS Standard via Wesnatal Dha Complete	Tier 2 - Generic	—	—	—	None
Connect Gold CMS Standard via Wesnatal Dha Complete	Tier 2 - Generic	—	—	—	None
Connect Gold RD CMS Standard via Wesnatal Dha Complete	Tier 2 - Generic	—	—	—	None
Connect Silver CMS Standard	Tier 2 - Generic	—	—	—	None
Connect Gold CMS Standard	Tier 2 - Generic	—	—	—	None
Connect Silver RD CMS Standard	Tier 2 - Generic	—	—	—	None
Connect Bronze RD CMS Standard	Tier 2 - Generic	—	—	—	None
Connect Bronze RD CMS Standard via Wesnatal Dha Complete	Tier 2 - Generic	—	—	—	None
Connect Bronze CMS Standard via Wesnatal Dha Complete	Tier 2 - Generic	—	—	—	None
Connect Gold RD CMS Standard	Tier 2 - Generic	—	—	—	None
Connect Silver RD CMS Standard via Wesnatal Dha Complete	Tier 2 - Generic	—	—	—	None

TRICARE

1 plan

Source: Excel (XLSX) · Formulary date: Sep 23, 2026 · Checked: 20 hours, 7 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
TRICARE Uniform Formulary 2026 via PNV no.52/iron/FA/omega-3/dha	Tier 3 - Non-Formulary	✓	—	✓ SEL TEST STRIPS TO DISP AT MAX OF 100 UNITS IN 22D OR 300 UNITS IN 68D W/O QF IN 365D OR RX BY OBGYN	PA \| QL PA: FEDERAL LEGEND PRENATALS FOR FEMALES > 45 YEARS PA REQUIRED; Quantity limit