How much do prescriptions cost with TRICARE?

Question

Accepted Answer

TRICARE prescription costs depend on where you fill them:

**Military Pharmacies:**
• All prescriptions: $0
• Most formulary medications available
• May have limited hours
• Free for all beneficiaries

**TRICARE Pharmacy Home Delivery:**

**90-Day Supply:**
• Generic: $0
• Brand name (formulary): $13
• Non-formulary: $60

**Benefits:**
• Free shipping
• Lower costs than retail
• Auto-refill available
• Convenient

**Network Retail Pharmacies:**

**30-Day Supply:**
• Generic: $13
• Brand name (formulary): $38
• Non-formulary: $60

**Convenient but more expensive than home delivery**

**Non-Network Pharmacies:**
• Pay full price
• File claims yourself
• Reimbursed at lower rate
• Not recommended

**Cost Comparison:**

**Generic Medication Example:**
• Military pharmacy: $0
• Home delivery (90 days): $0
• Retail (30 days): $13

**Brand Name Example:**
• Military pharmacy: $0
• Home delivery (90 days): $13
• Retail (30 days): $38

**Ways to Save:**

1. **Use Military Pharmacies:** Always free
2. **Home Delivery:** Best for maintenance meds
3. **Choose Generic:** When available
4. **90-Day Supplies:** Lower cost per day

**Specialty Medications:**
• Higher costs may apply
• Prior authorization required
• Home delivery or specialty pharmacy
• Network pharmacy option

**TRICARE For Life:**
• Similar copay structure
• Medicare may cover some
• TRICARE covers gaps

**Formulary:**
• List of covered medications
• Generic preferred
• Some brand names require authorization
• Search online at tricare.mil

**Prior Authorization:**
• Some medications require approval
• Ensures medical necessity
• Provider submits request

**Medication Not Covered?**
• Ask about alternatives
• Generic options
• Appeal process available

**Tips:**
• Ask about 90-day supplies
• Use home delivery for maintenance meds
• Check formulary before prescribing
• Keep medication list updated

**Annual Costs:**
• Pharmacy copays count toward catastrophic cap (Select)
• Prime pharmacy copays don't count
• Once cap reached, remaining prescriptions free

Use military pharmacies or home delivery whenever possible for maximum savings.

How much do prescriptions cost with TRICARE?

Military Pharmacies • All prescriptions: $0 • Most formulary medications available • May have limited hours • Free for all beneficiaries

TRICARE Pharmacy Home Delivery

90-Day Supply • Generic: $0 • Brand name (formulary): $13 • Non-formulary: $60

Benefits • Free shipping • Lower costs than retail • Auto-refill available • Convenient

Network Retail Pharmacies

30-Day Supply • Generic: $13 • Brand name (formulary): $38 • Non-formulary: $60

Non-Network Pharmacies • Pay full price • File claims yourself • Reimbursed at lower rate • Not recommended

Cost Comparison

Generic Medication Example • Military pharmacy: $0 • Home delivery (90 days): $0 • Retail (30 days): $13

Brand Name Example • Military pharmacy: $0 • Home delivery (90 days): $13 • Retail (30 days): $38

Ways to Save

Specialty Medications • Higher costs may apply • Prior authorization required • Home delivery or specialty pharmacy • Network pharmacy option

TRICARE For Life • Similar copay structure • Medicare may cover some • TRICARE covers gaps

Formulary • List of covered medications • Generic preferred • Some brand names require authorization • Search online at tricare.mil

Prior Authorization • Some medications require approval • Ensures medical necessity • Provider submits request

Tips • Ask about 90-day supplies • Use home delivery for maintenance meds • Check formulary before prescribing • Keep medication list updated

Annual Costs • Pharmacy copays count toward catastrophic cap (Select) • Prime pharmacy copays don't count • Once cap reached, remaining prescriptions free

Related Questions

How much does TRICARE cost?

Does TRICARE cover prescriptions?

Still have questions?

How much do prescriptions cost with TRICARE?

Military Pharmacies • All prescriptions: $0 • Most formulary medications available • May have limited hours • Free for all beneficiaries

TRICARE Pharmacy Home Delivery

90-Day Supply • Generic: $0 • Brand name (formulary): $13 • Non-formulary: $60

Benefits • Free shipping • Lower costs than retail • Auto-refill available • Convenient

Network Retail Pharmacies

30-Day Supply • Generic: $13 • Brand name (formulary): $38 • Non-formulary: $60

Non-Network Pharmacies • Pay full price • File claims yourself • Reimbursed at lower rate • Not recommended

Cost Comparison

Generic Medication Example • Military pharmacy: $0 • Home delivery (90 days): $0 • Retail (30 days): $13

Brand Name Example • Military pharmacy: $0 • Home delivery (90 days): $13 • Retail (30 days): $38

Ways to Save

Specialty Medications • Higher costs may apply • Prior authorization required • Home delivery or specialty pharmacy • Network pharmacy option

TRICARE For Life • Similar copay structure • Medicare may cover some • TRICARE covers gaps

Formulary • List of covered medications • Generic preferred • Some brand names require authorization • Search online at tricare.mil

Prior Authorization • Some medications require approval • Ensures medical necessity • Provider submits request

Tips • Ask about 90-day supplies • Use home delivery for maintenance meds • Check formulary before prescribing • Keep medication list updated

Annual Costs • Pharmacy copays count toward catastrophic cap (Select) • Prime pharmacy copays don't count • Once cap reached, remaining prescriptions free

Related Questions

How much does TRICARE cost?

Does TRICARE cover prescriptions?

Still have questions?