vitamin D3/folic/aloe vera/cascara bark/inulin/slip elm brk

125 mcg-1,000 mcg-225 mg-135 mg-500 mg-425 mg — Tablet

Also known as: SYNVERA METAVEX

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