prenatal vits no.112/iron phosph/folic acid/omega-3s/dha/epa

3.33 mg iron-0.33 mg-34.83 mg (25 mg-5.1 mg-4.73 mg) — Chewable Tablet

Also known as: VITAFOL GUMMIES

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: 17 hours, 40 minutes ago

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