
Some TRICARE beneficiaries will pay anywhere from $1 to $8 more for prescription drugs beginning Jan. 1. Active-duty service members will still pay nothing for their medications. Survivors of active-duty service members, medically retired service members and their family members will see no increase for medications they get through military and retail-network pharmacies and through home delivery.
Price increases for generic formulary drugs will be minimal. Copayments increase respectively for brand-name formulary drugs and non-formulary drugs. Here are the copayment changes:
TRICARE Pharmacy home delivery – up to a 90-day supply:
• Generic formulary drugs will be $12, up from $10.
• Brand-name formulary drugs will be $34, up from $29.
• Non-formulary drugs will rise to $68, up from $60.
TRICARE retail network pharmacies, up to a 30-day supply:
• Generic formulary drugs will be $14, up from $13.
• Brand-name formulary drugs will be $38, up from $33.
• Non-formulary drugs will be $68, up from $60.
Thirty-day supplies of medications obtained through non-network pharmacies will cost the same for TRICARE Prime plan users. Non-network pharmacy costs for all other health plans are:
• Generic and brand-name formulary drugs will be $38, up from $33, or 20 percent of the total cost – whichever is more – after deductibles are met.
• Non-formulary drugs will rise to $68, up from $60, or 20 percent of the total cost – whichever is more – after deductibles are met.