miconazole nitrate/zinc oxide/petrolatum,white

0.25 %-15 %-81.35 % — Ointment

ANTIFUNGALS

Also known as: VUSION MICONAZOLE-ZINC OXIDE-PETROLTM
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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: Jan 5, 2026  ·  Checked: 20 hours, 54 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
TRICARE Uniform Formulary 2026 Tier 3 - Non-Formulary — — — None
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