TRICARE covers most prescription drugs approved by the U.S. Food and Drug Administration (FDA). We can cover your prescription drugs under the pharmacy benefit or the medical benefit.
We cover prescription drugs under the pharmacy benefit if they:
- Are approved by the FDA,
- Aren’t part of a procedure covered under the medical benefit, and
- Follow established medical standards
The TRICARE Formulary is a list of generic and brand name prescription drugs that we cover.
We don’t cover prescription drugs that aren’t necessary for the diagnosis or treatment of a covered illness. >>View a list on non-covered drugs and other products.
What if the drug I need was just approved by the FDA?
Most of the time, newly-approved prescription drugs are available from network pharmacies and home delivery soon after they are available for sale. Exceptions include prescription drugs that are:
- Not covered by TRICARE
- Covered only by the medical benefit, but not the pharmacy benefit
- Not suitable for dispensing through the network or home delivery
The TRICARE Formulary is updated with newly-approved prescription drugs, as needed.
What does a "prescription drug covered by the medical benefit" mean?
Some drugs are covered under the medical benefit. These are the drugs you get while you’re hospitalized or during your outpatient visit.