TRICARE For Life Pharmacy Copays: A Breakdown of 2024 Fees

The cost of prescription medications can be a significant burden on individuals, especially those with chronic conditions that require ongoing treatment. As part of the TRICARE program, pharmacy copays play a crucial role in ensuring that beneficiaries have access to necessary medications while also controlling healthcare expenses.

As we move into 2024, it's essential to understand the changes to TRICARE pharmacy fees and how they may impact your out-of-pocket costs. In this article, we'll delve into the details of TRICARE pharmacy copays, including increases for brand-name and generic formulary drugs, as well as non-formulary medications.

TRICARE Non-Network Pharmacy Fees in 2024

For those who fill their prescriptions outside of the TRICARE Retail Network, there are specific fees to be aware of. In 2024, the copayments for brand-name formulary drugs will increase from $38 to $43 per month, while generic formulary drugs will rise from $14 to $16 per month.

TRICARE Retail Network Pharmacy Fees in 2024

If you're part of the TRICARE Retail Network, you can expect slightly different copayments. For brand-name formulary drugs, the cost will increase from $34 to $38 per month, while generic formulary drugs will rise from $12 to $13 per month.

Non-Formulary Drugs: What You Need to Know

Non-formulary drugs typically only include brand-name medications and come with high out-of-pocket expenses. However, TRICARE covers these drugs, but restrictions may apply depending on the medication and other variables. According to TRICARE, non-formulary drugs are not as readily available as formulary drugs, which can lead to higher costs.

What's the Difference Between Formulary and Non-Formulary Drugs?

In simple terms, 'formulary' refers to a list of medications covered by a healthcare plan. Generic 'formulary' drugs are medications found on this list, making them less expensive than brand-name drugs. On the other hand, non-formulary drugs are not included on the formulary list and may come with higher costs.

Who is Affected by TRICARE Pharmacy Cost Increases in 2024?

Not all TRICARE beneficiaries will see an increase in pharmacy copays. Survivors of active duty and medically retired service members will not experience any changes, while active duty service members pay no out-of-pocket costs for prescriptions. Others may experience modest increases starting on January 1, 2024.

As we navigate the complexities of TRICARE pharmacy fees, it's essential to understand how these changes may impact your healthcare expenses. By familiarizing yourself with the new copayments and fees, you can better plan your medication costs and ensure that you receive the necessary treatment for your health needs.

Remember to take advantage of TRICARE Pharmacy Home Delivery services by signing up through Express Scripts or calling 1-87 (TTY/TDD 1-87). With this convenient service, you can have your prescriptions delivered right to your doorstep, making it easier to manage your medications and stay on track with your healthcare goals.

Tricare for life pharmacy copays