Sod Sulf-potass Sulf-mag Sulf

Generic: sodium, potassium,mag sulfates

17.5-3.13G — Solution

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	Tier 3 - Non-Formulary	—	—	—	None
TRICARE Uniform Formulary 2026 via Suprep	Tier 3 - Non-Formulary	—	—	—	None