What are my pharmacy copayments?

 

Active duty service members do not have copayments for covered drugs.

 TRICARE Pharmacy Copayments
Option  Formulary Non-formulary Excluded/Not Covered

Generic

Brand Name

Generic  Brand Name 

Generic & Brand Name

 2025  2026  2025 2026  2025/2026 
Military Pharmacy
(up to a 90-day supply)
 $0 $0   $0  $0 Not Applicable Not Applicable  Not Applicable

TRICARE Home Delivery
(up to a 90-day supply) 

Note: If you live overseas, you must use an APO/FPO address. Home delivery isn't available in Germany, Norway or Saudi Arabia.

$13  $38  $14  $44  $76  $85  Not Applicable

Network Pharmacy
In the United States and U.S. Territories (Guam, Puerto Rico, the Northern Mariana Islands, and the U.S. Virgin Islands)
(up to a 30-day supply)

Note: There are no network pharmacies in American Samoa.

$16  $43 

$16

 $48 $76  $85  Full Cost

Non-network Pharmacy
In the United States and U.S. Territories (Guam, Puerto Rico, American Samoa, the Northern Mariana Islands, and the U.S. Virgin Islands)
(up to a 30-day supply)

Note: You may have to pay the full amount up front and file a claim. If you're an active duty service member, you'll get full reimbursement. 

 

TRICARE Prime enrollees (including TRICARE Prime Remote, US Family Health Plan, TRICARE Young Adult-Prime, and TRICARE Prime Demo): 50% cost-shareA percentage of the total cost of a covered health care service that you pay. after you meet your point-of-service deductible
($300/person or $600/family).

All others in 2025
$43 or 20% of total cost, whichever is more, after you meet your annual deductible.

All others in 2026
$48 or 20% of total cost, whichever is more, after you meet your annual deductible.

TRICARE Prime enrollees (including TRICARE Prime Remote, US Family Health Plan, TRICARE Young Adult-Prime, and TRICARE Prime Demo): 50% cost-share after you meet your point-of-service deductible
($300/person or $600/family).

All others in 2025
$76 or 20% of total cost, whichever is more, after you meet your annual deductible.

All others in 2026
$85 or 20% of total cost, whichever is more, after you meet your annual deductible.

All beneficiaries:
Full cost of drug

Overseas Pharmacy (not including U.S. territories) (up to a 30-day supply)

Note: If you live in the Philippines, you must get your drugs from a TRICARE-certified pharmacy.

Active duty service members and active duty family members enrolled in a TRICARE Prime Overseas option: Pay up front and get full reimbursement after you file a claim.

Active duty family members enrolled in TRICARE Select Overseas and TRS members: 20% cost-share after you meet your annual deductible.

All others: 25% cost-share after you meet your annual deductible
All beneficiaries:
Full cost of drug
 

You must get some maintenance drugsAny drug you take regularly for a chronic condition. from home delivery or a military pharmacy (if available). If not, you’ll pay the full cost for your maintenance drug. Visit Maintenance Drugs List to see if your drug is on the list. This doesn’t apply to you if you’re an active duty service member, have other prescription drug coverage, or live overseas.  

Note: Survivors of active duty service members and medically retired service members (and their families) have lower copaymentA fixed dollar amount you may pay for a covered health care service or drug. costs. To see your costs visit Pharmacy Costs.

 



Contact Information
Pharmacy Contractor (Express Scripts)
1-877-363-1303
http://www.express-scripts.com/tricare
DOD.customer.relations@express-scripts.com

Last Updated 12/2/2025