emtricitabine/tenofovir disoproxil fumarate

100 mg-150 mg, 133 mg-200 mg, 167 mg-250 mg, 200 mg-300 mg — Tablet

Also known as: EMTRICITABINE-TENOFOVIR DISOP

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

1 plan

Source: Excel (XLSX) · Formulary date: Jan 5, 2026 · Checked: 16 hours, 10 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
TRICARE Uniform Formulary 2026	Tier 1 - Basic Core Formulary	—	—	—	None