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.

• You may be required to pay up front for prescriptions from network and non-network pharmacies.
• You'll get a full reimbursement when you file a claim with Express Scripts.
• Your provider must establish medical necessity for you to get non-formulary drugsA drug in a therapeutic class that isn’t as clinically or cost-effective as other drugs in the same class. You pay a higher cost share for these drugs. 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)

*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. 

¹Includes activatedCalled or ordered to active duty service for more than 30 days in a row. Guard/Reserve Members

²If filling prescriptions in the Philippines, you must use a certified pharmacy or your claim will be denied.