erythromycin base

250 mg, 5 mg/gram (0.5 %) — Tablet

Also known as: erythromycin base oral capsule erythromycin base oral tablet ERYTHROMYCIN ERY-TAB

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: 1 hour, 42 minutes ago

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

1 plan

Source: PDF · Formulary date: Jan 1, 2026 · Checked: 1 hour, 42 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
UnitedHealthcare NC Individual & Family 2026	Tier 3 - Mid-Range Cost	—	—	—	None