epinephrine in 0.9 % sod chlor

4MG/250ML — IV Bag

Also known as: ADRENALIN EPINEPHRINE-0.9% NACL

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: Jul 31, 2026 · Checked: 2 hours, 57 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
TRICARE Uniform Formulary 2026	Tier 3 - Non-Formulary	—	—	—	None