TRICARE pharmacy copayment increases Jan. 1, 2022

  • Published
  • By TRICARE Reports

Starting Jan. 1, 2022, copayments will increase for those using the TRICARE mail-order program or utilizing the retail network. These costs changes won’t affect all beneficiaries. 

If you’re an active duty service member, or ADSM, you’ll still pay nothing for your covered drugs at military pharmacies, retail network pharmacies, and through home delivery. Copayments for survivors of ADSMs will remain the same.

Medically retired service members and their family members also won’t see a change in their copayments next year. For more information, visit https://newsroom.tricare.mil/Articles/Article/2792283/tricare-pharmacy-copayments-to-increase-in-2022.
 
The changes in co-pays taking effect Jan. 1:
Tricare Pharmacy Home Delivery (up to 90-day supply)

  • Generic formulary drugs co-pays increase from $10 to $12
  • Brand-name formulary drugs increase from $29 to $34
  • Non-formulary drugs increase from $60 to $68

Tricare retail network pharmacies (up to 30-day supply)

  • Generic formulary drugs increase from $13 to $14
  • Brand-name formulary drugs increase from $33 to $38
  • Non-formulary drugs increase from $60 to $68

Non-network pharmacies (up to 30-day supply)

  • Generic formulary drugs and brand-name formulary drugs will increase from $33 to $38, or the co-pay will be 20 percent of the total cost of the drug, whichever is greater, after meeting the annual deductible.
  • Non-formulary drugs will increase from $60 to $68, or the co-pay will be 20 percent of the total cost of the drug, whichever is greater, after meeting the annual deductible.