Infusion/Injection Medication

Food and Drug Administration approval is a perquisite, but not all FDA-approved drugs are covered by TRICARE. Injection and infusion medications may be self-administered or administered by a caregiver, by a home health agency, in a hospital, or in a provider’s office.

See Home Infusion Therapy for information on medication coverage for self-injection and infusion in the home or when dispensed by a home health agency.

Costs depend on where the services are provided: a hospital, an outpatient office, or a home setting.

Injectable Drugs

Some injectable drugs—or shots—are available at network pharmacies and through home delivery. If so, pharmacy copayments will apply. You can search the TRICARE Formulary to see which drugs are available through the pharmacy benefit.

Injectable drugs that aren’t available through retail pharmacies or home delivery:

• Can be received at your doctor’s office
• Are covered by your health plan
• Aren’t covered by the pharmacy benefit

Contact your regional contractor for more information.