prenatal vitamin no.48/iron,carbonyl,gluconate/folic acid/B6

20 mg iron-1 mg-25 mg/25 mg — Tablet

Also known as: CITRANATAL B-CALM

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