Is It Covered?

Search the A-Z list for a list of covered services. Your coverage and out-of-pocket costs may vary based on who you are and your health plan option.

Prescriptions

TRICARE covers most prescription drugs approved by the U.S. Food and Drug Administration (FDA).  Prescription drugs may be available as part of the pharmacy or medical benefit.

For a drug to be covered by the TRICARE pharmacy benefit, it must:

  1. Be approved by the FDA
  2. Not be part of a procedure covered under the medical benefit 
  3. Be prescribed in accordance with good medical practice and established standards of quality  

TRICARE doesn't cover drugs that aren't medically or psychologically necessary for the diagnosis or treatment of a covered illness.

Search the TRICARE Formulary Button 

Disclaimer:

This A-Z list of topics is not all inclusive. TRICARE covers most inpatient and outpatient care that is medically necessary and considered proven. However, there are special rules or limits on certain types of care, while other types of care are not covered at all.

Last Updated 9/8/2014