MODD1 Patient Welcome

STR N/A — Kit

Also known as: MODD1 Patient Welcome Kit
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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: Sep 23, 2026  ·  Checked: 6 hours, 19 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
TRICARE Uniform Formulary 2026 Tier 4 - Not Covered — — — None
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