Paxlovid (EUA)
150-100 MG, 300-100 MG — TABLET, DOSE PACK
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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.
TRICARE
1 plan| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
| TRICARE Uniform Formulary 2026 | Tier 2 - Brand Formulary | — | — | ✓ PAXLOVID TO BE DISPENSED AT A MAXIMUM QUANTITY OF 30 TABLETS IN 68 DAYS | QL Quantity limit |