Prescription Drugs

TRICARE provides prescription drug coverage with most TRICARE health plans. If you use the US Family Health Plan, you have a separate pharmacy coverage.

TRICARE Formulary

The TRICARE Formulary is a list of generic and brand-name prescription drugs that we cover. TRICARE covers most prescription drugs approved by the Food and Drug Administration (FDA). Prescription drugs may be covered under the pharmacy benefit or the medical benefit.

We review and update the TRICARE Formulary each quarter. After each review, some drugs may move from one category to another. You’ll get a letter from Express Scripts if you have a prescription for a formulary drug that’s changing to a non-formulary drug.

Covered and Non-Covered Drugs

Search the TRICARE Formulary

Your costs will vary depending on your drug category. Prescription drugs fall into four categories:

  1. Generic formulary drugs
  2. Brand-name formulary drugs
  3. Non-formulary drugs
  4. Non-covered drugs

TRICARE Drug Categories

These categories follow industry standards. They depend on the medical effectiveness and cost effectiveness of a drug compared to other similar drugs.

Pre-authorization Requirements

Certain prescriptions require a pre-authorization. You may need pre-authorization for your prescription if it:

Check the TRICARE Formulary to see if you need pre-authorization.

TRICARE-Videos TRICARE Formulary Search Tool >> More Videos
  • Managing your prescriptions can be tricky, but the TRICARE Formulary Search Tool can help! Learn how much you’ll pay, where you can get your prescriptions filled, and so much more.
Starting Jan. 14, 2022, TRICARE will cover paxlovid and molnupiravir to treat mild-to-moderate COVID-19. To get these oral antivirals, you must have an order from a TRICARE-authorized providerAn authorized provider is any individual, institution/organization, or supplier that is licensed by a state, accredited by national organization, or meets other standards of the medical community, and is certified to provide benefits under TRICARE. There are two types of TRICARE-authorized providers: Network and Non-Network. DS. The CDC highly encourages patients get a COVID-19 test early after known or suspected exposure or as soon as symptoms are present. This is because these antivirals work best during the early stages of COVID-19 infection.
You’ll be able to get these drugs at no cost from:

Quantity limits vary by type of pharmacy:

Exceptions can be made if your provider establishes medical necessity.

Last Updated 6/6/2022