Zorvolex

Generic: diclofenac submicronized

18MG, 35MG — Capsule

Also known as: ZORVOLEX CAPS 18MG, 35MG

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: 20 hours, 45 minutes ago

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