This increase is effective immediately and does not apply to generic medications.
Copays vary based on the class of drug and where the prescription is filled. The new copay for a 30-day supply of brand name medication purchased at a retail network pharmacy has increased from $12 to $17. Beneficiaries using TRICARE Pharmacy Home Delivery will see an increase from $9 to $13 for a 90-day supply of medication.
The greatest change in copays applies to non-formulary medications, which have increased from $25 to $44 at retail pharmacies and $43 through Home Delivery. Future Fiscal Year increases will be the same as the retiree cost-of-living adjustment. In years when the increase would be less than $1, it will be delayed a year and combined with the next adjustment so increases will always be $1 or more.
If you have any questions regarding your pharmacy benefits, please contact Managed Care at (661) 277-6969 or visit www.TRICARE.mil/pharmacycosts.