Learn more about your pharmacy benefit.
Getting Your Medication
Pharmacy Benefit Overview
To check coverage and compare costs for a medication, use the TRICARE Formulary Search Tool.
Non-covered medications can be filled at any retail pharmacy. You are responsible for paying the full cost. The amount you pay for a non-covered medication won’t apply to your catastrophic cap. Non-covered medications are not available at military pharmacies or through home delivery.
To request reimbursement for a prescription, log in to download the prescription claim form and follow the instructions. Please note: Form submission does not guarantee coverage.
To submit a claim online, log in to your account.
You will need your prescriber information, a photocopy of your pharmacy receipt, and the phone number for the pharmacy where you filled your prescription.
Medical Necessity Claims
Proof of Medical Necessity is required for some medications. In some cases, you may be eligible for a lower copayment if your doctor completes a medical necessity form. Download a medical necessity form through the TRICARE Formulary Search Tool.
Prior Authorization is a process to make sure you get the right medication for your health and your coverage plan. We use it to make sure your medication is safe and effective. Learn more or download a prior authorization form for your doctor through the TRICARE Formulary Search Tool.