Pharmacy Copayments For Calendar Year 2025 *
Year Retail network generic formulary 30-day supply Retail network brand-name formulary 30-day supply Retail network non-formulary 30-day supply Mail order generic formulary 90-day supply Mail order brand-name formulary 90-day supply Mail order Non-formulary 90-day supply 2025 $16 $43 $76 ** $13 $38 $76 * Active-duty Service members (ADSM) enjoy a $0 copay for covered drugs at any pharmacy. ** For all beneficiaries except ADSM, select brand-name maintenance medications (taken for long-term conditions) may only be filled twice at retail and then must be filled through home delivery or military pharmacy.
Document Information
- Published:
- 11/08/2024
- Department:
- Defense Department
- Entry Type:
- Notice
- Action:
- Notice; TRICARE Plan Program Changes for Calendar Year 2025.
- Document Number:
- 2024-26066
- Dates:
- TRICARE Health Plan information in this notice is valid for services during CY 2025 (January 1, 2025-December 31, 2025).
- Pages:
- 88742-88744 (3 pages)
- PDF File:
- 2024-26066.pdf