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Prescription Costs

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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

Network Pharmacy Options

Point of Service	Generic Copays	Brand Name Copays	Non-Formulary Copays
Retail Network(30-day supply)	$11	$28	$53*
Home Delivery(90-day supply)	$7	$24	$53
Military Pharmacy(90-day supply)	Still $0 copay for all formulary drugs at military pharmacies		Generally not available without medical necessity

If you want a 90-day supply from your network pharmacy, you'll pay the cost for each 30-day supply. For example, a 90-day supply of a generic drug will cost $33. Copayments remain the same as 2017 rates for dependent survivors of Active Duty Service Members and medically retired service members and their dependents.

*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.

Non-Network Pharmacies in the United States and U.S. Territories
Active Duty Service Members¹	You will get a full reimbursement.
All Other Beneficiaries	If enrolled in a Prime plan, you pay 50% cost-share after point-of-service For all other plans, you pay: Formulary drugs: $28 or 20% of total cost, whichever is more, after you meet your annual deductible Non-formulary drugs: $53 or 20% of total cost, whichever is more, after you meet your annual deductible

Non-Network Pharmacies in the United States and U.S. Territories

Who You Are

What You Pay

Active Duty Service Members¹

You will get a full reimbursement.

All Other Beneficiaries

If enrolled in a Prime plan, you pay 50% cost-share after point-of-service

For all other plans, you pay:

Formulary drugs: $28 or 20% of total cost, whichever is more, after you meet your annual deductible
Non-formulary drugs: $53 or 20% of total cost, whichever is more, after you meet your annual deductible

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

Non-Network (Overseas Retail²) Pharmacies in all other Overseas Areas
Who You Are	What You Pay
All Beneficiaries Enrolled in a TRICARE Prime Overseas Plan	You will get a full reimbursement when you file your claim
Active Duty Family Members using TRICARE Select Overseas & Beneficiaries Using TRICARE Reserve Select	20% cost share after you meet your annual deductible
All Other Beneficiaries	25% cost share after you meet your annual deductible