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1. Tricare Drug Copays
2. Tricare Prime Prescription Copay
3. Tricare Medication Copay

The TRICARE Pharmacy Program, administered by Express Scripts, is designed to provide the medications beneficiaries need, when they need them, in a safe, convenient and cost-effective manner. Note: Visit our Copayment and Cost-Share Information page for 2021 costs. View the cost information below for TRICARE Young Adult (TYA) beneficiaries. The amounts are based on the TYA enrollee's sponsor's active duty or retiree status. The catastrophic cap is the maximum out-of-pocket amount the beneficiary will pay each calendar year for TRICARE-covered services. The beneficiary is not responsible for any amounts over the catastrophic cap in a given year, except for. This page contains the link to the Benefits A-Z area which explains what is covered, excluded or has limitations.as well as important cost information. TRICARE Pharmacy Home Delivery provides a 90-day prescription, filled by mail, with a zero-dollar copay for formulary generic, $13 for brand name, and $43 for non-formulary, Retail pharmacies provide a 30-day prescription fill with cost shares of $5 for generic, $17 for brand name, or $44 for non-formulary.

• Copayments and cost-shares are subject to change at the beginning of each calendar year.
  • Copayments are per occurrence or per visit.
  • Cost-shares are a percentage of the contracted rate for network providers and the maximum TRICARE allowable for non-network providers on certain types of services.
• Beneficiaries have an out-of-pocket maximum for covered medical expenses; this is known as the catastrophic cap.
• Point of Service cost-shares and deductibles may apply to TRICARE Prime and TRICARE Prime Remote beneficiaries (excluding active duty service members).

Important Note: Active duty service members do not have any out-of-pocket costs for care.

2021 Costs

Tricare Drug Copays

Tricare Prime Prescription Copay

Active Duty Family Members	Retirees and Their Family Members	TRICARE Reserve Select (TRS)	TRICARE Retired Reserve (TRR)	TRICARE Young Adult (TYA)
Enlisted before 01/01/18	Enlisted before 01/01/18	All	All	All
Enlisted on or after 01/01/18	Enlisted on or after 01/01/18

2021 Cost Information by Benefit

Detailed information on copayments and cost-shares is listed below by benefit. You can also view this information using the cost links in our Benefits A-Z list.

Tricare Medication Copay

Active Duty Family Members	Retirees and Their Family Members	TRICARE Reserve Select (TRS)	TRICARE Retired Reserve (TRR)	TRICARE Young Adult (TYA)
Enlisted before 01/01/18	Enlisted before 01/01/18	All	All	All
Enlisted on or after 01/01/18	Enlisted on or after 01/01/18