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.
TRICARE covers most U.S. Food and Drug Administration (FDA)-approved prescription medications. Medications may be available as part of the pharmacy or medical benefit. In general, for a medication to be covered by the TRICARE pharmacy benefit, it must:
- Be a prescription medication approved by the FDA;
- Not be part of a procedure covered under the medical benefit; and
- Be prescribed in accordance with good medical practice and established standards of quality.
Additionally, medications that are not medically or psychologically necessary for the diagnosis or treatment of a covered illness are not covered by TRICARE.
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.