Does TRICARE cover Wegovy, Ozempic, and Mounjaro?

 

TRICARE only covers Wegovy for weight management. You must meet the criteria and have a prescription from a licensed provider. Your doctor must fill out a  prior authorization form. TRICARE also covers Zepbound for weight management. You must meet the criteria and have a prescription from a licensed provider. Your doctor must fill out a prior authorization form.

TRICARE covers Ozempic and Mounjaro to treat type 2 diabetes. You must meet the criteria and have a prescription from a licensed provider. Your doctor must fill out prior authorization and medical necessity forms. You can try other drugs, for example, Trulicity, to pay a lower copaymentA fixed dollar amount you may pay for a covered health care service or drug.. You must meet the criteria and have a prescription from a licensed provider. Your doctor must fill out a prior authorization form unless you have a documentation for any other diabetes medication in your TRICARE pharmacy record in the last 720 days. 

Use the TRICARE Formulary Search tool to search for your drug and find the forms you need. 

Last Updated 10/24/2024