neomycin-polymyxin-gramicidin

Generic: neomycin sulfate/polymyxin B sulfate/gramicidin D

Drops

Also known as: Neosporin Ophthalmic Drops

Informational only — Coverage rules change frequently; verify tier placement and restrictions with your plan or pharmacy before acting.

1 plan

Source: PDF · Formulary date: Jul 1, 2026 · Checked: 11 hours, 5 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
NC Medicaid Preferred Drug List 2026	Non-Preferred	—	—	—	None

1 plan

Source: Excel (XLSX) · Formulary date: Jun 24, 2026 · Checked: 11 hours, 5 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
TRICARE Uniform Formulary 2026 via neomycin sulfate/polymyxin B sulfate/gramicidin D	Tier 1 - Basic Core Formulary	—	—	—	None