How does TRICARE cover psychiatric medications?
Quick Answer
Psychiatric medications are covered under TRICARE pharmacy benefit with standard copays. Some require prior authorization or step therapy.
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Key Takeaways
- Psychiatric meds covered
- Standard pharmacy copays apply
- Some need prior authorization
- Multiple pharmacy options
Detailed Answer
Psychiatric medications are covered through TRICARE pharmacy.
Covered Medications
- Antidepressants
- Anti-anxiety medications
- Mood stabilizers
- Antipsychotics
- ADHD medications
- Sleep medications
- Medications for addiction
Getting Prescriptions
- Psychiatrist or physician prescribed
- PCM can prescribe common medications
- Specialty authorization for some
Prior Authorization
- Some medications require approval
- Step therapy may apply
- Non-formulary requires approval
- Provider submits request
Where to Fill
- Military pharmacy ($0)
- Home delivery (standard copays)
- Network retail pharmacy
- Specialty pharmacy if needed
Controlled Substances
- State laws apply
- May have quantity limits
- Regular monitoring required
- Electronic prescribing often required
Related TRICARE Terms
Related Questions
What is the TRICARE formulary?
The TRICARE formulary is the list of covered medications organized into tiers, with generic drugs in lowest tier and specialty drugs in highest tier.
What mental health services does TRICARE cover?
TRICARE covers outpatient therapy, psychiatry, inpatient treatment, intensive outpatient programs, substance abuse treatment, and crisis intervention.
What do most military families add to their TRICARE coverage?
Supplemental health insurance is the most common addition — it covers dental, vision, and out-of-pocket costs that TRICARE leaves uncovered. Life insurance and a legal will are also highly recommended.
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