Pharmacy Copayments
On February 1, 2018, changes in copayments for military health plans will take effect. There are no changes in copayments for FY 2019.
All military health plans will see this change occur. These changes are required by law and affect TRICARE beneficiaries who are not active duty service members. The new copayments are listed in the chart below:
| Copay Tier |
Pharmacy |
Cost Rx per Fill |
Average Cost Per Year |
|
Tier 1
Formulary Generics
|
Mail-Order |
$7 |
$28 |
| Local Pharmacy |
$11 |
$132 |
|
Tier 2
Formulary Brands
|
Mail-Order |
$24 |
$96 |
| Local Pharmacy |
$28 |
$336 |
|
Tier 3
Non-Formulary
|
Mail-Order |
$53 |
$212 |
| Local Pharmacy |
$53 |
$636 |
Prescriptions filled at mail order will have lower copays than those picked up locally. If you are not using mail order, call MAXORPlus customer service toll free at 866-408-2459 to see how to move your prescriptions over.