prenatal vit no.30/iron carbonyl,asp glyc/folic acid/omega-3

30 mg iron-10 mg iron-1 mg-200 mg — Capsule

Also known as: OB COMPLETE WITH DHA

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: 13 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
TRICARE Uniform Formulary 2026	Tier 3 - Non-Formulary	✓	—	—	PA