PRENATAL71/IRON/FOLIC ACID/DHA 30-1.4-200

Capsule

VITAMINS

Also known as: PRENA1 PEARL PRENATAL71/IRON/FOLIC ACID/DHA 30-1.4-200 CAP IR DR
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Coverage by Insurer

Informational only — Coverage rules change frequently; verify tier placement and restrictions with your plan or pharmacy before acting.
Source: Excel (XLSX)  ·  Formulary date: May 29, 2026  ·  Checked: 6 hours, 34 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
TRICARE Uniform Formulary 2026 Tier 3 - Non-Formulary ✓ — — PA
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