sodium, potassium,mag sulfates
17.5-3.13G — Solution
LAXATIVES-CATHARTICS-STOOL SOFTENERS
Also known as:
SOD SULF-POTASS SULF-MAG SULF
SUPREP
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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.
TRICARE
2 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
|
TRICARE Uniform Formulary 2026
via Sod Sulf-potass Sulf-mag Sulf |
Tier 3 - Non-Formulary | — | — | — | None |
|
TRICARE Uniform Formulary 2026
via Suprep |
Tier 3 - Non-Formulary | — | — | — | None |