Migranal

0.5MG/SPRY — AEROSOL, SPRAY WITH PUMP (ML)

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: Sep 23, 2026 · Checked: 6 hours, 22 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
TRICARE Uniform Formulary 2026	Tier 2 - Brand Formulary	—	—	✓ MIGRANAL NASAL SPRAY TO BE DISP AT MAX QTY OF 16 VIALS IN 22 DAYS OR 48 VIALS IN 68 DAYS	QL Quantity limit