Trinatal Rx 1

Generic: prenatal vitamin 27 with calcium/ferrous fumarate/folic acid

Tablet

Also known as: TRINATAL RX TAB 1 Trinatal Rx 1 Tablet

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: Jun 24, 2026 · Checked: 19 hours, 52 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
TRICARE Uniform Formulary 2026 via prenatal vitamin 27 with calcium/ferrous fumarate/folic acid	Tier 3 - Non-Formulary	✓	—	—	PA