Pnv-Select

Generic: prenatal vits with calcium no.40/iron fumarate/folate no.1

Tablet

.12%

Also known as: pnv-select tab Pnv-Select Tablet Pnv-Select Tab PNV-SELECT TABLET

Coverage by Insurer

Informational only — Coverage rules change frequently; verify tier placement and restrictions with your plan or pharmacy before acting.
Source: PDF  ·  Formulary date: Jan 1, 2026  ·  Checked: 16 hours, 54 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
Connect Silver 4400 Indiv Med Deductible Tier 1 - Preferred Generic None
Connect Bronze 6500 Indiv Med Deductible Tier 1 - Preferred Generic None
Connect Silver 3000 Indiv Med Deductible Tier 1 - Preferred Generic None
Connect Silver RD 5000 Indiv Med Deductible Tier 1 - Preferred Generic None
Connect myDiabetesCare Silver Tier 1 - Preferred Generic None
Connect Silver RD 2200 Indiv Med Deductible Tier 1 - Preferred Generic None
Connect Gold 1500 Indiv Med Deductible Tier 1 - Preferred Generic None
Connect myDiabetesCare Bronze Tier 1 - Preferred Generic None
Connect Bronze 5500 Indiv Med Deductible Tier 1 - Preferred Generic None
Connect Bronze RD 6000 Indiv Med Deductible Tier 1 - Preferred Generic None
Connect Silver 3500 Indiv Med Deductible Tier 1 - Preferred Generic None
Connect Bronze RD 5000 Indiv Med Deductible Tier 1 - Preferred Generic None
Connect Silver RD 3500 Indiv Med Deductible Tier 1 - Preferred Generic None
Connect Bronze 7000 HSA Indiv Med Deductible Tier 1 - Preferred Generic None
Connect Bronze CMS Standard Tier 2 - Generic None
Connect Silver RD CMS Standard Tier 2 - Generic None
Connect Gold CMS Standard Tier 2 - Generic None
Connect Bronze RD CMS Standard Tier 2 - Generic None
Connect Gold RD CMS Standard Tier 2 - Generic None
Connect Silver CMS Standard Tier 2 - Generic None
Source: PDF  ·  Formulary date: Jul 1, 2026  ·  Checked: 16 hours, 54 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
NC State Health Plan - HDHP 2026 Tier 1 - Preferred Generic None
NC State Health Plan - 70/30 Standard PPO 2026 Tier 1 - Preferred Generic None
NC State Health Plan - 80/20 Plus PPO 2026 Tier 1 - Preferred Generic None
Source: Excel (XLSX)  ·  Formulary date: Jun 24, 2026  ·  Checked: 16 hours, 54 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
TRICARE Uniform Formulary 2026
via prenatal vits with calcium no.40/iron fumarate/folate no.1
Tier 3 - Non-Formulary PA
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