An official website of the United States government
Here's how you know
A .mil website belongs to an official U.S. Department of Defense organization in the United States.
A lock (lock ) or https:// means you’ve safely connected to the .mil website. Share sensitive information only on official, secure websites.

News | June 16, 2022

Continuous Glucose Monitors Now Available as a TRICARE Pharmacy Benefit

By TRICARE Communications

If you use a continuous glucose monitor (CGM), you’re in luck. TRICARE Pharmacy Program now covers two brands of CGMs. These are the Abbott FreeStyle Libre 2 and the Dexcom G6. Previously, CGMs were only available as durable medical equipment (DME) under the TRICARE medical benefit. CGMs continue to be covered as a DME medical benefit, but they’re also now available as part of your pharmacy benefit.
 
“This change in expanded benefit coverage will improve access for patients to get the CGMs they need,” said Edward VonBerg, PharmD, chief of the Defense Health Agency’s Formulary Management Branch. “We aim to make TRICARE benefits as accessible and affordable as possible so beneficiaries feel good and can lead healthy, productive lives. Adding CGMs to the pharmacy benefit is an example of this.”
 
As a pharmacy benefit, CGMs are available through TRICARE retail network pharmacies and TRICARE Pharmacy Home Delivery. As outlined in the TRICARE Pharmacy Program Overview, active duty service members pay nothing for covered prescriptions from:  
For all others, pharmacy costs are based on who you are, the prescription category, and where you fill your prescription.
 
You need pre-authorization to get either brand of CGM through the TRICARE Pharmacy Program. This is true even if you’re already approved through the TRICARE medical benefit. To be pre-authorized, you must require daily insulin via a pump or multiple daily injections. Pharmacies dispense the devices in limited quantities, based on your provider’s written prescription.
 
If you choose to pick up your CGM at a network pharmacy or through home delivery, you’ll be charged for each component at the brand-name formulary drug rates.
 
Your TRICARE plan, which group you’re in (A or B), and pharmacy type determine whether you may have to meet your annual deductible before copayments or cost-shares apply. To learn more, use the TRICARE Compare Cost Tool.
 
Before you go to your pharmacy, you should first call to confirm availability of the CGM you need. Some facilities may stock one, both, and none of the devices. When you pick up your CGM, be sure to take the prescription from your health care provider with you.
 
If you choose home delivery for the Abbott FreeStyle Libre 2 reader, you must order the reader through the Department of Defense Abbott Labs FreeStyle Libre Program, which is a free service. For information, call 904-638-5519. You can also get the Abbott FreeStyle Libre 2 reader at a network pharmacy.
 
You can order Dexcom G6 components through home delivery. Dexcom G6 devices are also available for pick up at network pharmacies.
 
Keep in mind that both products have free smartphone applications you can use instead of the devices’ readers.
 
Remember that you can still get your CGM as DME through the TRICARE medical benefit. It depends on how your provider writes your prescription. Your TRICARE health plan will determine your fees. If you have coverage through US Family Health Plan (USFHP), you aren’t eligible for the TRICARE Pharmacy Program. You must use USFHP pharmacy providers.
 
If you have questions about TRICARE covered services or costs, you can refer to the TRICARE website. You can also reach out to your regional contractor or the pharmacy contractor.
 
Would you like the latest TRICARE news sent to you by email? Visit the TRICARE Subscriptions page today, and create your personalized profile to get benefit updates, news, and more.
Female Uniformed Service Member looks at mammogram images on a monitor with a keyboard.

The Power of Prevention: Get Cancer Screenings W...

News
Apr. 09, 2024

Catching cancer early is one of the best ways to protect yourself and your loved ones from cancer. Routine...
Read More
Heart Health: BAMC incorporates lifestyle medicine into cardiac rehab program

Look After Your Heart With Help From TRICARE

News
Apr. 04, 2024

Keeping your heart healthy is important at every age. Catching heart disease early gives you the best chance...
Read More
Screenshots of the latest issue of the TRICARE Health Matters Dental Newsletter. Callout box with text says, "Catch up on the latest dental news! www.tricare.mil/newsletters"

Check Out the Latest TRICARE Dental Program News...

News
Apr. 02, 2024

The latest issue of the TRICARE Health Matters Dental Newsletter is now online. It's full of information about...
Read More
Woman in wheelchair looks at her daughter's phone

Q&A: How TRICARE Covers Durable Medical Equipment

News
Mar. 28, 2024

TRICARE covers a range of DME, so you and your family can make the most of this equipment if you need it.
Read More
Provider wearing white lab coat flips through papers with charts on clipboard.

The HIPAA Privacy Rule and Military Health Care:...

News
Mar. 21, 2024

Are you the parent or legal sponsor of a minor child? If so, there are things you should know about what...
Read More
Collage image that displays the cover of the TRICARE Choices in the United States Handbook in front of other TRICARE handbooks.

Get To Know Your TRICARE Options in the U.S.

News
Mar. 20, 2024

Are you new to TRICARE and wondering what your health, dental, and vision coverage options are? If you live in...
Read More
Infographic including stick figure typing on laptop and a speech bubble with prescription bottle. Text reads "Military Health System MHS GENESIS - Refills are here!"

New Feature of MHS GENESIS Patient Portal Allows...

News
Mar. 15, 2024

The Defense Health Agency has launched a new feature that lets you request prescription refills through MHS...
Read More
Uniformed service member smiles and stands with wife and daughter at promotion ceremony.

Maintaining Your Military Health Records Overseas

News
Mar. 12, 2024

No matter where you live, it’s important for your electronic health record to be complete and up to date. For...
Read More

April 9, 2024

The Power of Prevention: Get Cancer Screenings With TRICARE

Catching cancer early is one of the best ways to protect yourself and your loved ones from cancer. Routine cancer screening tests can find many common cancers before they cause symptoms.

April 4, 2024

Look After Your Heart With Help From TRICARE

Keeping your heart healthy is important at every age. Catching heart disease early gives you the best chance for treatment to work well—and TRICARE makes it easy to get the preventive care you need.

April 2, 2024

Check Out the Latest TRICARE Dental Program Newsletter

The latest issue of the TRICARE Health Matters Dental Newsletter is now online. It's full of information about the TRICARE Dental Program and oral health.

March 28, 2024

Q&A: How TRICARE Covers Durable Medical Equipment

TRICARE covers a range of DME, so you and your family can make the most of this equipment if you need it.

March 21, 2024

The HIPAA Privacy Rule and Military Health Care: What Parents of Minors Need To Know

Are you the parent or legal sponsor of a minor child? If so, there are things you should know about what access you have to your child’s health care records and choices. The Health Insurance Portability and Accountability Act Privacy Final Rule protects minors’ privacy concerning their health care choices and treatment.

March 20, 2024

Get To Know Your TRICARE Options in the U.S.

Are you new to TRICARE and wondering what your health, dental, and vision coverage options are? If you live in the United States, the TRICARE Choices in the United States Handbook is a great place to start.

March 15, 2024

New Feature of MHS GENESIS Patient Portal Allows Prescription Refills

The Defense Health Agency has launched a new feature that lets you request prescription refills through MHS GENESIS.

March 12, 2024

Maintaining Your Military Health Records Overseas

No matter where you live, it’s important for your electronic health record to be complete and up to date. For TRICARE Prime Overseas and TRICARE Prime Remote Overseas beneficiaries, there are processes that help make this possible.

March 11, 2024

DOD Amends Assisted Reproductive Services Policy for Severely Ill and Injured Active Duty Service Members

DOD amended its policy covering assisted reproductive technology services to expand access for severely ill and injured active duty service members.

March 7, 2024

See What’s in Store for the TRICARE Pharmacy Program in 2024

The most recent TRICARE pharmacy contract, known as TRICARE Pharmacy 5th Generation (TPharm5), started on Jan. 1, 2023. Since then, you may have experienced some enhancements to how you get your prescription drugs. In 2024, you can continue to expect improved access to pharmacy benefit services through the TRICARE Pharmacy Program.