Prescription Costs
Your prescription costs depend on who you are, where you fill your prescription and the type of drug.
Active Duty Service Members
You can get prescriptions filled from any pharmacy at no cost.
All Other Beneficiaries
Military Pharmacy
- Get up to a 90-day supply of most prescription drugs.
- $0 copayment
Home Delivery
- Get up to a 90-day supply of most prescription drugs.
- Generic formulary: $0
- Brand name formulary: $20
- Non-formulary: $49 (unless you get medical necessity)
Network Pharmacy
- Get up to a 30-day supply of most prescription drugs.
- Generic formulary: $10
- Brand name formulary: $24
- *Non-formulary: $50 (unless you get medical necessity)
If you want a 90-day supply from your network pharmacy, you'll pay the cost for each 30-day supply. For example, a 90-day supply of a generic drug will cost $30.
*Some non-formulary drugs are only covered through Home Delivery. Check with Express Scripts before filling prescriptions for non-formulary drugs at a retail network pharmacy.
Non-Network Pharmacy
You'll pay more to get your prescription filled at non-network and overseas retail pharmacies.
- The costs are based on where you are, who you are and in some cases, what plan you're using
- You may need to pay up front and file a claim for reimbursement.
Non-Network Pharmacies in the United States and U.S. Territories |
Who You Are |
What You Pay |
Active Duty Service Members1 |
You will get a full reimbursement. |
All Other Beneficiaries |
If enrolled in a Prime plan, you pay 50% cost-share after point-of-service
For all other plans, you pay:
- Formulary drugs: $24 or 20% of total cost, whichever is more, after you meet your annual deductible
- Non-formulary drugs: $50 or 20% of total cost, whichever is more, after you meet your annual deductible
|
1Includes activatedCalled or ordered to active duty service for more than 30 days in a row. Guard/Reserve Members
Non-Network (Overseas Retail2) Pharmacies in all other Overseas Areas |
Who You Are |
What You Pay |
All Beneficiaries Enrolled in a TRICARE Prime Overseas Plan |
You will get a full reimbursement when you file your claim |
Active Duty Family Members using TRICARE Standard Overseas & Beneficiaries Using TRICARE Reserve Select |
20% cost share after you meet your annual deductible |
All Other Beneficiaries |
25% cost share after you meet your annual deductible |
2If filling prescriptions in the Philippines, you must use a certified pharmacy or your claim will be denied.