News | June 22, 2021

Is Your Prescription Covered? Find Out Using TRICARE Formulary Search Tool

By TRICARE Communications

It’s no secret that taking your medications as prescribed is one of the keys to staying healthy. For you, that could be blood pressure medication. For a family member, it could be medication to treat an allergy. But how do you know if the prescription your doctor wrote for you is something that TRICARE covers? You can find out by looking it up on the TRICARE Formulary Search Tool.
 
“The TRICARE Formulary Search Tool helps you learn about your prescription, where you can fill it, and how much you may have to pay out of pocket,” said U.S. Public Health Service Cmdr. Teisha Robertson, a pharmacist with the Pharmacy Operations Division at the Defense Health Agency. “It’s an easy to use online tool that can help you get the most out of your TRICARE pharmacy benefit.”
 
How does the TRICARE Formulary Search Tool work?
When you’re ready to get started, head over to the search tool and type in the brand or generic name and strength of the drug you need. The “Medicine Name” search bar shows you an example of how you should enter this information. Next, choose the age and gender for whom the prescription is for and click “Search.” This will allow you to see:
  • Coverage results and coverage rules, such as pre-authorization forms or other limitations
  • Information about the drug and where it can be filled
  • Other drug options
  • Your copayment (if applicable)
 
What prescription drugs can I find using the search tool?
You can search for a wide range of prescription drugs. As outlined in the TRICARE Pharmacy Program Handbook, the TRICARE formulary places drugs into four categories:
  • Generic formulary drugs. These are substitutes for brand-name drugs. You can find them in most pharmacies and they cost less than the other options below.
  • Brand-name formulary drugs. These are provided if there isn’t a generic substitute for your prescription or if your doctor completes a clinical assessment that indicates the brand-name drug should be used.
  • Non-formulary drugs. TRICARE also covers these, though availability may be limited. These drugs will usually have higher cost-shares than generic and brand-name drugs, unless your provider can establish medical necessity.
  • Non-covered drugs. TRICARE doesn’t cover these. They may be drugs used to treat a non-covered condition, drugs used for cosmetic purposes, multivitamins, or other products the Food and Drug Administration doesn’t consider to be clinically effective. If you’re prescribed one of these, you’ll have to pay the full price of the drug.
 
“Another way the TRICARE Formulary Search Tool helps is by showing you any quantity limits or restrictions that may apply to your drug and if you need pre-authorization,” Robertson added. “You can also use it to search for alternatives if your prescribed medication has a generic equivalent or isn’t covered.”
 
Where can I get my prescription filled?
Found your covered prescription with the search tool? Now, it’s time to fill it. The TRICARE Pharmacy Program gives you four pharmacy options to fill your prescription:                           
With military pharmacies and home delivery, you can get a 90-day supply of most drugs. Keep in mind, some drugs may only be filled using a certain pharmacy option. Each option is available worldwide, but there may be some limitations overseas.
 
As you search for your prescription, don’t forget to review your costs. As stated in the TRICARE Pharmacy Program Overview, “Active duty service members pay nothing for covered prescriptions from military pharmacies, TRICARE Pharmacy Home Delivery, or TRICARE retail network pharmacies.” If you’re an active duty family member or a retiree, you may have out-of-pocket costs depending on your prescription, TRICARE plan, and where you fill it. The search tool can help you learn more about specific costs for each type of drug.
 
Got more questions? Be sure to contact the pharmacy contractor, Express Scripts, who can answer questions you may have about your prescription drug coverage. Take command of your health, and use the TRICARE Formulary Search Tool to find the medication you need.
Two service members talking

Retiring From the Service? Get to Know Your TRIC...

News
Sep. 22, 2021

If you’re getting ready to retire from active duty or reserve service, your goal is likely to make a smooth...
Read More
TRICARE Email Alert Sign up

Plan Ahead for Disasters With TRICARE

News
Sep. 16, 2021

This year, we’ve seen the devastating effects of hurricanes, floods, snowstorms, and wildfires both in the...
Read More
TRICARE webinar promo

TRICARE Families Register for September 23 Autis...

News
Sep. 15, 2021

Are you new to the Autism Care Demonstration (ACD)? Do you have questions about some of the new changes to the...
Read More
Stethoscope

Take Advantage of New Resources Through the TRIC...

News
Sep. 07, 2021

Did you know the TRICARE Overseas Program (TOP) made changes on Sept. 1 to improve your patient experience?...
Read More
TRICARE Pharmacy Program Overview

Pharmacy Questions? Get the Answers You’re Looki...

News
Sep. 02, 2021

Do you want to learn more about your TRICARE pharmacy benefit? If you’re enrolled in a TRICARE health plan,...
Read More
Service member administers COVID-19 vaccine to fellow service member

Department of Defense Mandates COVID-19 Vaccina...

News
Sep. 01, 2021

On Aug. 24, Secretary of Defense Lloyd J. Austin III issued a memo directing mandatory COVID-19 vaccinations...
Read More
FALLS CHURCH, Va. - All Active Duty and Ready Reserve Sailors are now required to be fully vaccinated against COVID-19.

​Navy Supports Mandatory COVID-19 Vaccination fo...

News
Sep. 01, 2021

FALLS CHURCH, Va. - All Active Duty and Ready Reserve Sailors are now required to be fully vaccinated against...
Read More
Baby lying down

Expecting a Baby? Here’s How TRICARE Can Help

News
Aug. 26, 2021

You just learned you’re going to be a mom. Congratulations—this is a happy and exciting milestone in your...
Read More

Sept. 22, 2021

Retiring From the Service? Get to Know Your TRICARE Options

If you’re getting ready to retire from active duty or reserve service, your goal is likely to make a smooth transition to civilian life. TRICARE can help you do that. When you retire from active duty or retire from the National Guard or Reserve, you’ll experience a TRICARE Qualifying Life Event (QLE).

Sept. 16, 2021

Plan Ahead for Disasters With TRICARE

This year, we’ve seen the devastating effects of hurricanes, floods, snowstorms, and wildfires both in the U.S. and overseas. It’s a stark reminder that natural disasters can happen anytime and anywhere. But planning ahead and staying informed can help keep you and your family safe during a disaster.

Sept. 15, 2021

TRICARE Families Register for September 23 Autism Care Demonstration Webinar

Are you new to the Autism Care Demonstration (ACD)? Do you have questions about some of the new changes to the ACD? For existing and new families to the ACD, TRICARE will host a webinar on Sept. 23, from 1 to 2 p.m. ET.

Sept. 7, 2021

Take Advantage of New Resources Through the TRICARE Overseas Program

Did you know the TRICARE Overseas Program (TOP) made changes on Sept. 1 to improve your patient experience? You now have access to a wide range of new resources to help you get the care you need.

Sept. 2, 2021

Pharmacy Questions? Get the Answers You’re Looking for With This TRICARE Resource

Do you want to learn more about your TRICARE pharmacy benefit? If you’re enrolled in a TRICARE health plan, you’re eligible for pharmacy coverage through the TRICARE Pharmacy Program, unless you have the US Family Health Plan, which has a separate pharmacy coverage.

Sept. 1, 2021

Department of Defense Mandates COVID-19 Vaccinations for Service Members

On Aug. 24, Secretary of Defense Lloyd J. Austin III issued a memo directing mandatory COVID-19 vaccinations for all uniformed service members. The news from the Department of Defense (DoD) comes after careful consultation with medical experts on ways to protect the health and readiness of the force during the COVID-19 pandemic.

Sept. 1, 2021

​Navy Supports Mandatory COVID-19 Vaccination for all Active Duty and Reserve Sailors

FALLS CHURCH, Va. - All Active Duty and Ready Reserve Sailors are now required to be fully vaccinated against COVID-19.

Aug. 26, 2021

Expecting a Baby? Here’s How TRICARE Can Help

You just learned you’re going to be a mom. Congratulations—this is a happy and exciting milestone in your life. But you may also feel nervous about what comes next, and that’s okay. TRICARE is here to help you every step of the way.

Aug. 25, 2021

Secretary of Defense Mandates COVID-19 Vaccinations for Service Members

Secretary of Defense Lloyd J. Austin III yesterday issued a memorandum directing mandatory COVID-19 vaccinations for service members, a Pentagon official said today. John F. Kirby, Pentagon press secretary, said only Food and Drug Administration-approved vaccines will be mandatory.

Aug. 24, 2021

We’re Here for You: TRICARE Resources for Those Struggling with the Events in Afghanistan

The news out of Afghanistan has affected many in our community. We know this may cause stress to some service members, military retirees, and their families. If you think you or a family member could benefit from mental health services, you’re covered with TRICARE.

Learn More about COVID-19 and the COVID-19 Vaccine.