Fact-checked by Adam Kennah, M.D. on . See our fact-checking policy.
TRICARE is the military health benefit covering service members, retirees, and their families. Coverage practices are set by TRICARE's pharmacy and therapeutics committee.
Covered for T2D. Typical copay $0–$15/month for retail prescriptions.
Variable. TRICARE has expanded coverage of Wegovy and Zepbound under specific criteria but remains restrictive.
Coverage of Wegovy under March 2024 CV indication expanding.
Coverage of Zepbound for OSA expanding.
TRICARE PA criteria are similar to commercial: BMI thresholds, comorbidity, documented lifestyle modification.
Active duty service members should consult military treatment facility; retirees can verify with TRICARE customer service.
The most reliable way to verify coverage is to call the member services number on your insurance card and ask: (1) Is [Wegovy/Zepbound/Ozempic/Mounjaro] on my formulary? (2) What tier? (3) What are the prior authorization criteria? (4) What's my expected copay at each tier? Document the date, the rep's name, and any reference number.
If insurance coverage is unworkable, see our price index for current cash-pay compounded options. Our editor's pick, NexLife, runs $145–$215/month flat-rate.