Back to Top Skip to main content

Increases to TRICARE pharmacy copayments coming

TRICARE urges you to take command of your health care to enhance your TRICARE experience. TRICARE is changing. Are you ready?

Recommended Content:

TRICARE Pharmacy Program | TRICARE Formulary

On Feb 1, 2018, copayments for prescription drugs at TRICARE Pharmacy Home Delivery and retail pharmacies will increase. These changes are required by law and affect TRICARE beneficiaries who are not active duty service members.

While retail pharmacy and home delivery copayments will increase, prescriptions filled at military pharmacies remain available at no cost. You can save the most money by filling your prescriptions at military pharmacies.

“Military pharmacies and TRICARE Pharmacy Home Delivery will remain the lowest cost pharmacy option for TRICARE beneficiaries,” said U.S. Air Force Lt. Col. Ann McManis, Pharmacy Operations Division at the Defense Health Agency.

Using home delivery, the copayments for a 90-day supply of generic formulary drugs will increase from $0 to $7. For brand-name formulary drugs, copayments will increase from $20 to $24, and copayments for non-formulary drugs. without a medical necessity will increase from $49 to $53.

At a retail network pharmacy, copayments for a 30-day supply of generic formulary drugs will increase from $10 to $11 and from $24 to $28 for brand-name formulary drugs.

In some cases, survivors of active duty service members may be eligible for lower cost-sharing amounts.

TRICARE groups pharmacy drugs into three categories: generic formulary, brand name formulary and non-formulary. You pay the least for generic formulary drugs and the most for non-formulary drugs, regardless of whether you get them from home delivery or a retail pharmacy.

To see the new TRICARE pharmacy copayments, visit www.tricare.mil/. To learn more about the TRICARE Pharmacy Program, or move your prescriptions to home delivery, visit www.tricare.mil/pharmacy.  

You also may be interested in...

TRICARE Pharmacy Benefit Program Formulary Management Clarification

Policy

Questions have arisen concerning the requirement for military treatment facilities (MTFs) to provide medications prescribed by MTF providers. This requirement has commonly been referred to as the "You write it, you fill it" policy.

  • Identification #: HA Policy 04-032
  • Date: 3/22/2005
  • Type: Memorandums
  • Topics: TRICARE Formulary

TRICARE Pharmacy Benefit Program Formulary Management

Policy

The Department ofDefense was directed to establish an effective, efficient, integrated pharmacy benefits program for the Military Health System, to include a Uniform Formulary of pharmaceutical agents.

  • Identification #: HA Policy: 04-032
  • Date: 12/22/2004
  • Type: Memorandums
  • Topics: TRICARE Formulary
<< < 1 2 > >> 
Showing results 16 - 17 Page 2 of 2

DHA Address: 7700 Arlington Boulevard | Suite 5101 | Falls Church, VA | 22042-5101

Some documents are presented in Portable Document Format (PDF). A PDF reader is required for viewing: Download a PDF Reader or learn more about PDFs.