Non-Network Pharmacy

At non-network pharmacies:

  • You'll pay full price for your prescription drugs and file a claim for reimbursement.
  • Reimbursements are subject to deductible or out-of-network cost shares, and copayments.
  • All deductibles must be met before we can reimburse you. >>Learn More

U.S. and U.S. Territories

If you're in the U.S. or U.S. territories, you should only visit a non-network pharmacy as your last option.

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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 you have a Prime Plan, you pay 50% cost-share after point-of-service.

For all other plans, you pay:
 
1Includes activatedCalled or ordered to active duty service for more than 30 days in a row. Guard/Reserve Members
Other Overseas Areas

If you're overseas (other than a U.S. territory), you fill your prescriptions at an overseas retail pharmacy. Overseas retail pharmacies are non-network pharmacies, but sometimes, an overseas retail pharmacy may be your only option. You will have to pay full price first and then file a claim for reimbursement.

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

2 filling prescriptions in the Philippines, you must use a certified pharmacy or we may deny your claim.

Prescriptions in the Philippines

You must have prescriptions filled at a TRICARE-certified pharmacy. 

Last Updated 2/1/2016

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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