neomycin sulfate/polymyxin B sulfate/hydrocortisone

3.5 mg/mL-10,000 unit/mL-1 % — Suspension

Also known as: NEOMYCIN-POLYMYXIN-HC

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: Jan 5, 2026 · Checked: 5 hours, 13 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
TRICARE Uniform Formulary 2026	Tier 1 - Basic Core Formulary	—	—	—	None