prenatal vit,cal 73/iron/folic

28 MG-1 MG — Tablet

Also known as: TRINATE Trinate

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

5 plans

Source: PDF · Formulary date: Nov 1, 2026 · Checked: 10 hours, 14 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
BCBSNC Blue Advantage 2026 via Trinate	Tier 4 - Higher Cost Brand	—	—	—	None
BCBSNC Blue Home with UNC Health Alliance 2026 via Trinate	Tier 4 - Higher Cost Brand	—	—	—	None
BCBSNC Blue Local 2026 via Trinate	Tier 4 - Higher Cost Brand	—	—	—	None
BCBSNC Blue Care 2026 via Trinate	Tier 4 - Higher Cost Brand	—	—	—	None
BCBSNC Blue Value 2026 via Trinate	Tier 4 - Higher Cost Brand	—	—	—	None

1 plan

Source: Excel (XLSX) · Formulary date: Oct 29, 2026 · Checked: 10 hours, 14 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
TRICARE Uniform Formulary 2026	Tier 3 - Non-Formulary	✓	—	✓ SEL TEST STRIPS TO DISP AT MAX OF 100 UNITS IN 22D OR 300 UNITS IN 68D W/O QF IN 365D OR RX BY OBGYN	PA \| QL PA: FEDERAL LEGEND PRENATALS FOR FEMALES > 45 YEARS PA REQUIRED; Quantity limit