sumatriptan succ/naproxen sod
85MG-500MG — Tablet
Also known as:
SUMATRIPTAN SUCC-NAPROXEN SOD
TREXIMET
Sumatriptan Succ-naproxen Sod
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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
1 plan| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
| TRICARE Uniform Formulary 2026 | Tier 3 - Non-Formulary | ✓ | ✓ | ✓ TREXIMET TO BE DISP AT A MAX QTY OF 9 TABLETS IN 22 DAYS OR 27 TABLETS IN 68 DAYS | PA | ST | QL PA: TPA - UBRELVY W/O USE OF NURTEC ODT TABLET OR W/O USE OF SELECT TRIPTANS IN LAST 180 DAYS REQ PA; Step therapy: SEL ORAL TRIPTANS W/O USE OR W/O USE OF 2 DIFF SELECT ORAL TRIPTANS IN 365 DAYS REQ PA; Quantity limit |