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Prescription Costs

Prescription costs depend on the type of drug and where you fill your prescription.

Military Pharmacy

  • $0 copayment for up to a 90-day supply of most prescriptions
  • Not all drugs are available. Call first to check
  • Non-formulary drugs aren't usually filled

Home Delivery

You can get up to a 90-day supply for most prescriptions.

  • $0 for generic formulary drugs
  • $13 for brand-name formulary drugs
  • $43 for non-formulary drugs, unless you establish medical necessity 

Network Pharmacy

You can get up to a 30-day supply of most prescriptions.

  • $5 for generic formulary drugs
  • $17 for brand-name formulary drugs
  • $44 for non-formulary drugs, unless you establish medical necessity 

You can have a 90-day prescription filled, but you will pay for each 30-day supply.

Non-Network Pharmacy

You'll pay more to have prescriptions filled at non-network pharmacies, including host nation pharmacies overseas. Your costs depend on your plan and the type of drug.

  • Active duty service members will receive a full reimbursement after they file a claim.
  • If you use a Prime option, you'll pay a 50% cost share after the point of service deductible is met.
  • If you use TRICARE Standard/Extra, TRICARE Reserve Select, TRICARE Retired Reserve or TRICARE Young Adult pay:
    • Formulary-Generic or Brand Name: $17 or 20% of the total cost, whichever is greater, after you meet the annual deductible
    • Non-Formulary: $44 or 20% of the total cost, whichever is greater, after you meet the annual deductible

Last Updated 4/10/2014

contact Your Contacts
Express Scripts, Inc.

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

www.express-scripts.com/tricare


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