Muse

1000 MCG, 250 MCG, 500 MCG — SUPPOSITORY, URETHRAL

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: 5 hours, 29 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
TRICARE Uniform Formulary 2026	Tier 2 - Brand Formulary	—	—	✓ MUSE SUPPOSITORY (PS 1) TO BE DISP AT MAX QTY 6 UNITS IN 30 DAYS OR 18 UNITS IN 90 DAYS	QL Quantity limit