prenatal vitamins with calcium/ferrous fumarate/folic acid

65 mg iron-1 mg — Capsule

VITAMINS

Also known as: MYNATAL MYNATAL-Z MYNATAL PLUS

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: 14 hours, 50 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
Connect Bronze 6500 Indiv Med Deductible
via Mynatal
Tier 1 - Preferred Generic None
Connect myDiabetesCare Silver
via Mynatal
Tier 1 - Preferred Generic None
Connect Silver RD 2200 Indiv Med Deductible
via Mynatal
Tier 1 - Preferred Generic None
Connect Gold 1500 Indiv Med Deductible
via Mynatal
Tier 1 - Preferred Generic None
Connect myDiabetesCare Bronze
via Mynatal
Tier 1 - Preferred Generic None
Connect Bronze 5500 Indiv Med Deductible
via Mynatal
Tier 1 - Preferred Generic None
Connect Bronze RD 6000 Indiv Med Deductible
via Mynatal
Tier 1 - Preferred Generic None
Connect Silver 3500 Indiv Med Deductible
via Mynatal
Tier 1 - Preferred Generic None
Connect Bronze RD 5000 Indiv Med Deductible
via Mynatal
Tier 1 - Preferred Generic None
Connect Silver RD 3500 Indiv Med Deductible
via Mynatal
Tier 1 - Preferred Generic None
Connect Bronze 7000 HSA Indiv Med Deductible
via Mynatal
Tier 1 - Preferred Generic None
Connect Silver 4400 Indiv Med Deductible
via Mynatal
Tier 1 - Preferred Generic None
Connect Silver RD 5000 Indiv Med Deductible
via Mynatal
Tier 1 - Preferred Generic None
Connect Silver 3000 Indiv Med Deductible
via Mynatal
Tier 1 - Preferred Generic None
Connect Bronze CMS Standard
via Mynatal
Tier 2 - Generic None
Connect Silver CMS Standard
via Mynatal
Tier 2 - Generic None
Connect Silver RD CMS Standard
via Mynatal
Tier 2 - Generic None
Connect Gold CMS Standard
via Mynatal
Tier 2 - Generic None
Connect Bronze RD CMS Standard
via Mynatal
Tier 2 - Generic None
Connect Gold RD CMS Standard
via Mynatal
Tier 2 - Generic None
Source: Excel (XLSX)  ·  Formulary date: Jun 24, 2026  ·  Checked: 14 hours, 50 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
TRICARE Uniform Formulary 2026 Tier 3 - Non-Formulary PA
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