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Pharmacy Costs


Active duty service members (including activated Guard/Reserve members) pay nothing for covered prescriptions. In some cases, service members may have to pay up front and file a claim for a full reimbursement.

For all other beneficiaries, prescription costs are based on the type of medication and where its filled.

Save Money with Home Delivery
Take steps now to reduce your out-of-pocket costs by moving prescriptions fill regularly to the safe, convenient home delivery option. It's easy to do with the Member Choice Center. Call 1-877-363-1433 or go online to activate your account. >>Learn More about Converting to Home Delivery

Type of Pharmacy Formulary Drugs Non-formulary Drugs
Military Pharmacy
(up to a 90-day supply)
$0 Not Applicable
Home Delivery
(up to a 90-day supply)

Generic: $0
Brand Name: $9

$25 (unless you establish medical necessity)
Retail Network
(up to a 30-day supply)

Generic: $5
Brand Name: $12

$25 (unless you establish medical necessity)
Non-Network
(up to a 30-day supply)
Prime Beneficiaries:
50% cost share after point of service deductible has been met.  

All Others:
$12 or 20% of the total cost, whichever is greater, after the annual deductible is met
Prime Beneficiaries:
50% cost share after point of service deductible has been met.  

All Others:
$25 or 20% of the total cost, whichever is greater, after the annual deductible is met

 

Get non-formulary medications at the formulary cost share!

Make sure your provider establishes medical necessity. Forms are available to download from the PEC Website.

Enrolled in the US Family Health Plan?

Remember, you will fill prescriptions through your US Family Health Plan's pharmacies, either onsite, network or mail-order, depending on what pharmacy options are available with your plan.  You will not access military treatment facility pharmacies or TRICARE's other pharmacy options. To learn about your prescription drug coverage, enter your profile.

If using a non-network pharmacy ...

You should expect to pay for the prescription in full up front and file a claim for partial reimbursement.  Learn more...

Last Modified: December 28, 2011