thiamine/vit B2/B3/pantothenic ac/B6/folic ac/mecobalamin/C

5 mg-5 mg-37.5 mg-20 mg-25 mg-1 mg-0.5 mg-65 mg — Capsule

Also known as: LUNAVIRA

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

1 plan

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	—	—	—	None