Filling Prescriptions With TRICARE: You’ve Got Options

1/16/2020

The TRICARE Pharmacy Program provides prescription drug coverage for all TRICARE beneficiaries. There are several options for filling your prescriptions. They include military pharmacies, TRICARE Pharmacy Home Delivery, TRICARE retail network pharmacies, and non-network pharmacies. Some options are available worldwide. And there are some limits for filling prescriptions overseas. As described in the TRICARE Pharmacy Program Handbook, how you fill your prescription depends on your beneficiary category and the type of drug you’re prescribed.

Here’s a breakdown on where you can fill your prescriptions:

Military pharmacies

Do you want to keep your costs low? You can consider filling your prescriptions for free at military pharmacies. You can receive a 90-day supply of most covered generic and brand-name drugs at a military pharmacy at no charge. Most military pharmacies accept electronic prescriptions for covered generic and brand-name drugs from your medical provider, regardless of whether or not you’re enrolled at the military hospital or clinic. Military pharmacies usually don’t carry non-formulary drugs. You should call your pharmacy before going to check if your drug’s available.

TRICARE Pharmacy Home Delivery

Are you looking for in-home convenience and savings? TRICARE Pharmacy Home Delivery is a great option for you. You may order your covered drugs through Express Scripts, Inc. (Express Scripts). Your order from Express Scripts should arrive within 14 days or less after you place your order. Remember to order your refills at least 14 days before your current supply runs out. Home delivery also provides you with:

With home delivery, you can get up to a 90-day supply of drugs. Keep in mind that you may have to fill certain prescription drugs through home delivery. And some limits on home delivery may apply overseas. There’s no cost for home delivery for active duty service members. For all other beneficiaries, there are copayments. Check out the TRICARE Costs and Fees Sheet to view your copayments.

TRICARE retail network pharmacies

Do you need a prescription filled quickly, and a military pharmacy isn’t an option? You can find a TRICARE retail network pharmacy. There are more than 58,000 locations in the U.S. and certain U.S. territories (Guam, Puerto Rico, U.S. Virgin Islands, and the Northern Mariana Islands). You don’t have to file a claim if you fill your prescriptions at retail network pharmacies throughout the U.S. But you do have to pay a copaymentClick to closeA fixed dollar amount you may pay for a covered health care service or drug. for each 30-day supply of a covered drug.

When filling your prescription, you’ll have to show your uniformed services ID card. It’s easy to find a retail network pharmacy close to you. You can search online. You can also use the Express Scripts mobile app or call 1-877-363-1303.

Non-network pharmacies

Do you want to fill a prescription at a non-network pharmacy in the U.S. or certain U.S. territories (American Samoa, Guam, the Northern Mariana Islands, Puerto Rico, and the U.S. Virgin Islands)? You’ll have to pay full price for your prescription drugs and file a claim for reimbursement. Overseas pharmacies are non-network. You’ll also have to pay the full cost up front and file a claim for reimbursement. For covered drugs, repayments are subject to deductibles, out-of-network cost-shares, and copayments. You must meet all deductibles before reimbursement. You can find details about filing claims in the U.S., U.S. territories, and overseas in the “Claims” section in the TRICARE Pharmacy Program Handbook.

To refill specialty drugs, learn about the Specialty Medication Care Management Program.

For non-covered drugs, you’ll have to pay the full cost of the drug. These are prescription drugs and other products that TRICARE doesn’t cover. To see if your drug is covered or not, check the TRICARE Formulary.

Take command of your health and learn more about your pharmacy coverage and options for filling your prescriptions. Check out TRICARE resources like the TRICARE Pharmacy Program Handbook and TRICARE Pharmacy Program Overview.

Last Updated 2/11/2020