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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 drugs at no cost.

All Other Beneficiaries

Military Pharmacy

  • Get up to a 90-day supply of most prescription drugs.
  • $0 copayment  

Home Delivery

  • Get up to a 90-day supply of most prescription drugs.
  • Generic formulary: $0
  • Brand name formulary: $16
  • Non-formulary: $46 (unless you get medical necessity)

Network Pharmacy

  • Get up to a 30-day supply of most prescription drugs.
  • Generic formulary: $8
  • Brand name formulary: $20
  • *Non-formulary: $47 (unless you get 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 $24.

*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 
 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: $20 or 20% of total cost, whichever is more, after you meet your annual deductible
  • Non-formulary drugs: $47 or 20% of total cost, whichever is more, after you meet your annual deductible

1Includes activated 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 Standard 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

2If filling prescriptions in the Philippines, you must use a certified pharmacy or your claim will be denied.

Last Updated 8/21/2015

contact Your Contacts
Express Scripts, Inc.

Stateside: 1-877-363-1303
Overseas: 1-866-275-4732
(where toll-free service is established)

Express Scripts Website


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