xanomeline tartrate/trospium chloride

100 mg-20 mg, 125 mg-30 mg, 50 mg-20 mg, 50 mg-20 mg (4)/100 mg-20 mg (52) — Capsule

Also known as: COBENFY COBENFY STARTER PACK

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: Jan 5, 2026 · Checked: 16 hours, 11 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
TRICARE Uniform Formulary 2026	Tier 3 - Non-Formulary	✓	—	—	PA