Rosuvastatin-ezetimibe

Generic: ezetimibe/rosuvastatin calcium

10 MG-10MG, 10 MG-20MG, 10 MG-40MG, 10 MG-5 MG — Tablet

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

2 plans

Source: Excel (XLSX) · Formulary date: Sep 23, 2026 · Checked: 7 hours, 11 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
TRICARE Uniform Formulary 2026 via Roszet	Tier 3 - Non-Formulary	—	—	—	None
TRICARE Uniform Formulary 2026	Tier 3 - Non-Formulary	—	—	—	None