Changes to your TRICARE prescription drug copayments in 2024

Copayment changes for your prescription drugs will go into effect January 1, 2024. Copayments will change at TRICARE Home Delivery and retail network pharmacies. There is still a $0 copay for prescriptions filled at military pharmacies.

Why the change?

Congress determined this change to prescription drug copayments in the Fiscal Year 2018 National Defense Authorization Act. Your prescription copayments vary based on where you fill your prescription and on the prescription’s formulary status (generic, brand-name, or non-formulary).

If you are an active-duty service member (ADSM), you will continue to have $0 copays for covered drugs at military pharmacies, retail network pharmacies and TRICARE Home Delivery. Copayments for dependent survivors of ADSMs and medically retired service members and their dependents will remain the same.

What are the copayment changes as of January 1, 2024?

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

• Generic formulary drugs will increase from $12 to $13
• Brand-name formulary drugs will increase from $34 to $38
• Non-formulary drugs will increase from $68 to $76

Retail network pharmacies (Up to a 30-day supply)

• Generic formulary drugs will increase from $14 to $16
• Brand-name formulary drugs will increase from $38 to $43*
• Non-formulary drugs will increase from $68 to $76*

Non-network pharmacies (Up to a 30-day supply) for non-TRICARE Prime plan

• Generic formulary drugs and brand-name formulary drugs will cost $43 (up from $38) or 20% of the total cost, whichever is more, after you meet your annual deductible.
• Non-formulary drugs will cost $76 (up from $68) or 20% of the total cost, whichever is more, after you meet your annual deductible.

Beneficiaries with a TRICARE Prime plan will pay a 50% copayment after meeting the point-of-service deductibles.

*Select maintenance medications (taken for long-term conditions) may only be filled twice at retail network pharmacies and then must be filled via home delivery or military pharmacy. Acute (short-term) use medications are available at retail pharmacies.

Where can I learn more about the coverage and cost of a medication?

The Formulary Search Tool provides information about your medication coverage and cost. A medication search through the Formulary Search Tool will show you:

• Information about the drug and where it can be filled (home delivery, retail network pharmacies, and military pharmacies)
• Coverage results and requirements, such as prior authorization and medical necessity forms
• Alternative drug options
• Copayments (if applicable)

The Formulary Search Tool will not reflect 2024-2025 copayments until January 1, 2024.

How can I find a local, retail network pharmacy?

Find a local, retail network pharmacy by using the Find a Pharmacy tool.

Where can I find a military pharmacy?

Find a military pharmacy by visiting the tricare.mil/mtf.

How can I get started with Home Delivery?

• Online. Log in to or create your account, then you can switch medication to home delivery.
• e-Prescribe. Ask your doctor to submit your prescription electronically. Express Scripts Pharmacy will process your prescription and mail it to you. If a copayment applies, you’ll receive an invoice in the mail.
• Mobile app. If you have an existing prescription at a retail or military pharmacy, you can transfer it using the Express Scripts Pharmacy mobile app.
• Phone. Call (877)363.1303 and have your prescription bottle ready. A patient care advocate will work with your doctor to transfer your medication to home delivery.
• Mail. Fill out the Home Delivery Order Form (PDF) and then mail the form and your 90-day prescription to the address listed on the form.

Who should I contact if I have questions?

If you have any questions about copayment changes, or you need help, please call Express Scripts, toll-free at 877.363.1303