neomycin sulfate/bacitracin/polymyxin B

3.5 mg-400 unit-10,000 unit/gram — Ointment

OPHTHALMIC

Also known as: NEO-POLYCIN NEOMYCIN-BACITRACIN-POLYMYXIN
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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, 55 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
TRICARE Uniform Formulary 2026 Tier 1 - Basic Core Formulary — — — None
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