Prior Authorization

Prior authorization is a routine process.  We use it to make sure your prescription drug is:

  • Safe
  • Effective
  • Medically necessaryTo be medically necessary means it is appropriate, reasonable, and adequate for your condition.
  • Cost effective

You may need prior authorization for your prescription if it:

Check the TRICARE Formulary to see if you need prior authorization.   

Search the TRICARE Formulary

How to Get Prior Authorization

  • Search for your drug on the TRICARE Formulary Search Tool
  • Download and print the form for your drug.
  • Give the form to your provider to complete and send back to Express Scripts.
    • Instructions are on the form
    • You don’t need to send multiple forms
  • Your authorization approval will apply to network pharmacies and home delivery.

Can't Find a Form?

Last Updated 4/5/2021