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 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 Note: There are no network pharmacies in American Samoa. |
$16 | $43 |
$16 |
$48 | $76 | $85 | Full Cost | |||
|
Non-network Pharmacy
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 All others in 2025 All others in 2026 |
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 All others in 2025 All others in 2026 |
All beneficiaries: Full cost of drug |
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|
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 |
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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