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Medication Assisted Treatment

Covered by TRICARE?Limits
Yes

You must have an opioid use disorder diagnosis.

You may qualify for Medication Assisted Treatment (MAT) if you have a substance use disorder. MAT: 
  • Combines drug and mental health therapies
  • Is covered when the TRICARE authorized provider has a special certification from the Drug Enforcement Agency to prescribe buprenorphine (e.g., suboxone)
TRICARE covers the settings below to provide MAT services. You don’t need to get prior authorization.

Opioid Treatment Program
You may qualify if you:
  • Have an opioid use disorder
  • Require medically monitored detoxification with direct access to medical services
  • Need medical support, but not a 24-hour medical environment
Office Based Opioid Treatment 
The provider must adhere to regulations from:  
  • Department of Health and Human Services
  • Drug Enforcement Agency 
  • State and local governments 

Last Updated 7/13/2017