pnv-dha

Generic: multivitamin combination no.47/ferrous fum/folate no.1/dha

Capsule

Also known as: pnv-dha cap PNV-DHA CAP DOCUSATE Pnv-Dha Cap

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

2 plans

Source: PDF · Formulary date: Jan 1, 2026 · Checked: 4 hours, 23 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
Cigna Plus NC 4-Tier Formulary 2026 via Wescap-Pn Dha	Tier 1 - Generic	—	—	—	None
Cigna Plus NC 4-Tier Formulary 2026 via Zatean-Pn Dha	Tier 1 - Generic	—	—	—	None

3 plans

Source: PDF · Formulary date: Apr 1, 2026 · Checked: 4 hours, 23 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
NC State Health Plan - 80/20 Plus PPO 2026	Not Covered	—	—	—	None
NC State Health Plan - 70/30 Standard PPO 2026	Not Covered	—	—	—	None
NC State Health Plan - HDHP 2026	Not Covered	—	—	—	None

1 plan

Source: Excel (XLSX) · Formulary date: Jan 5, 2026 · Checked: 4 hours, 23 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
TRICARE Uniform Formulary 2026 via multivitamin combination no.47/ferrous fum/folate no.1/dha	Tier 3 - Non-Formulary	—	—	—	None