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TRICARE Pharmacy Program Costs

Pharmacy costs are based on whether the prescription is classified as formulary generic (Tier 1), formulary brand name (Tier 2), or non-formulary (Tier 3), and where you choose to have your prescription filled. Note: Your TRICARE program option only matters if you have a prescription filled at a non-network pharmacy.

Non-formulary prescriptions may be filled at the formulary costs if medical necessity is established. For more information, visit TRICARE's Pharmacy web site. Use the Formulary Search Tool at TRICARE's Formulary Search Tool to find costs for specific medications. Note: TRICARE retail network pharmacies are only available in the United States, Guam, the Northern Mariana Islands, Puerto Rico, and the U.S. Virgin Islands. You may be required to pay up front at host nation pharmacies and file a claim for reimbursement.

The following table summarizes the costs for prescription drugs. Note: There are no pharmacy costs for ADSMs..


Type of Pharmacy

Formulary Costs



Non-Formulary Costs
(Tier 3)

Generic
(Tier 1)

Brand Name
(Tier 2)

Military
(up to a 90-day supply)

$0

$0

Not available

Mail Order
up to a 90-day supply)

$3

$9

$22

Network Retail1
(up to a 30-day supply)

$3

$9

$22

Non-Network Retail
(up to a 30-day supply)
 TRICARE Prime/TPRADFM:
POS fees apply

TRICARE Standard/
TRICARE Extra:
$9 or 20% of the total cost (whichever is greater) after the annual deductible is met		 TRICARE Prime/TPRADFM:
POS fees apply

TRICARE Standard/
TRICARE Extra:
$22 or 20% of the total cost (whichever is greater) after the annual deductible is met
1You can convert maintenance prescriptions—prescriptions you take on a regular basis—that you have filled at a TRICARE retail network pharmacy to the TRICARE Mail Order Pharmacy via the Member Choice Center (MCC). View "TRICARE Pharmacy Options" information in the For More Information section.

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Last Update: January 21, 2010