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.
Prescriptions for non-formulary drugs may be filled at the formulary costs if medical necessity is established. For more information, visit the
TRICARE Web Site. You can also use the
TRICARE Formulary Search Tool to find specific costs for prescription medications.
Note: If you are traveling overseas, be aware that TRICARE retail network pharmacies are only available in the United States, Guam, Puerto Rico, and the U.S. Virgin Islands. If you have prescriptions filled at a host nation pharmacy, you may be required to pay in full and file a claim for reimbursement.
The following table summarizes the costs for prescription drugs.
Note: There are no pharmacy costs for ADSMs.
