{"id":8368,"date":"2025-09-19T22:40:36","date_gmt":"2025-09-19T22:40:36","guid":{"rendered":"https:\/\/healthmedicinet.com\/review\/hmn-does-tricare-cover-ozempic-in-2025\/"},"modified":"2025-09-19T22:40:36","modified_gmt":"2025-09-19T22:40:36","slug":"hmn-does-tricare-cover-ozempic-in-2025","status":"publish","type":"post","link":"https:\/\/healthmedicinet.com\/review\/hmn-does-tricare-cover-ozempic-in-2025\/","title":{"rendered":"HMN: Does TRICARE cover Ozempic? in 2025"},"content":{"rendered":"<p>\n<br \/>Do you know:  Does TRICARE cover Ozempic? in 2025<\/p>\n<div id=\"main-content\">\n<div id=\"post-intro\">\n<div id=\"takeaways\">\n<h2>Key takeaways<\/h2>\n<ul>\n<li>\n<p><span style=\"font-weight: 400;\">TRICARE typically covers Ozempic for Type 2 diabetes\u2014but not for weight loss, which is an off-label use.\u00a0<\/span><\/p>\n<\/li>\n<li>\n<p><span style=\"font-weight: 400;\">Prior authorization is always required for TRICARE to cover Ozempic, and a medical necessity form is required if you fill your prescription at a military pharmacy.<\/span><\/p>\n<\/li>\n<li>\n<p><span style=\"font-weight: 400;\">There are a few ways to check whether Ozempic is covered under your specific TRICARE plan, but if it isn\u2019t, you can use a  card or coupon to save more than $500 per month on your prescription.\u00a0<\/span><\/p>\n<\/li>\n<\/ul>\n<\/div>\n<\/div>\n<section class=\"table-of-contents\">\n<div class=\"anchorLinks\">\n<div class=\"mobile-only\">\n<div class=\"dropdownLists\">\n<div tabindex=\"0\" class=\"dropdownBtn\"><span class=\"listsIcon\"><br \/>\n\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.singlecare.com\/blog\/wp-content\/themes\/singlecare\/images\/union.svg\" width=\"14\" height=\"20\"\/><\/span><br \/>\n\t\t\t\t\t\t\t<label><\/label><br \/>\n\t\t\t\t\t\t\t<span class=\"downArrow\"><br \/>\n\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.singlecare.com\/blog\/wp-content\/themes\/singlecare\/images\/dropDownArrow.svg\" width=\"24\" height=\"24\"\/><br \/>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<\/div>\n<\/p><\/div>\n<\/p><\/div>\n<\/p><\/div>\n<\/section>\n<p><span style=\"font-weight: 400;\">Ozempic<\/span><span style=\"font-weight: 400;\"> is a brand-name prescription drug that the Food and Drug Administration (FDA) has approved for Type 2 diabetes, cardiovascular risk reduction, and kidney disease in adults. Healthcare providers may also prescribe Ozempic <\/span><span style=\"font-weight: 400;\">off-label<\/span><span style=\"font-weight: 400;\"> (a non-FDA-approved use) for <\/span><span style=\"font-weight: 400;\">weight loss<\/span><span style=\"font-weight: 400;\"> and long-term weight management. <\/span><span style=\"font-weight: 400;\">Ozempic<\/span><span style=\"font-weight: 400;\"> is part of a group of drugs called glucagon-like peptide-1 receptor agonists (<\/span><span style=\"font-weight: 400;\">GLP-1s<\/span><span style=\"font-weight: 400;\">) and contains the active ingredient semaglutide. If you are prescribed this once-weekly injectable medicine, you may want to know whether your TRICARE plan provides coverage, since Ozempic can be expensive without insurance or prescription discounts.\u00a0<\/span><\/p>\n<h2 id=\"does-tricare-cover-ozempic\"><span style=\"font-weight: 400;\">Does TRICARE cover Ozempic?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Many TRICARE plans provide coverage of Ozempic for Type 2 diabetes, although coverage varies by plan.\u00a0\u00a0\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">In order for <\/span><a href=\"https:\/\/newsroom.tricare.mil\/News\/TRICARE-News\/Article\/4266447\/tricare-coverage-of-weight-loss-medications-what-to-know\"><span style=\"font-weight: 400;\">TRICARE<\/span><\/a><span style=\"font-weight: 400;\"> to cover Ozempic, you\u2019ll need to meet the clinical criteria for Type 2 diabetes and have your healthcare provider submit a <\/span><span style=\"font-weight: 400;\">prior authorization<\/span><span style=\"font-weight: 400;\"> form. As of Aug. 31, 2025, your healthcare provider will also have to submit proof of medical necessity, but only if you choose to have your Ozempic prescription filled at a military pharmacy and pay the lower formulary copay. If you fill your prescription at a retail or mail-order pharmacy, a prior authorization should suffice. This coverage also applies to similar drugs like <\/span><span style=\"font-weight: 400;\">Mounjaro<\/span><span style=\"font-weight: 400;\">, <\/span><span style=\"font-weight: 400;\">Victoza<\/span><span style=\"font-weight: 400;\">, and <\/span><span style=\"font-weight: 400;\">Trulicity<\/span><span style=\"font-weight: 400;\">.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Currently, TRICARE covers Ozempic for Type 2 diabetes, but <\/span><a href=\"https:\/\/www.moaa.org\/micro\/tricare-guide-2024-2025\/moaas-tricare-guide-weight-loss-drugs-and-tricare\/\"><span style=\"font-weight: 400;\">not for weight loss<\/span><\/a><span style=\"font-weight: 400;\">. If you have TRICARE and want coverage for weight loss medication, you may want to consider <\/span><span style=\"font-weight: 400;\">Wegovy<\/span><span style=\"font-weight: 400;\"> (semaglutide), <\/span><span style=\"font-weight: 400;\">Zepbound<\/span><span style=\"font-weight: 400;\"> (tirzepatide), <\/span><span style=\"font-weight: 400;\">Saxenda<\/span><span style=\"font-weight: 400;\"> (liraglutide), <\/span><span style=\"font-weight: 400;\">Qsymia<\/span><span style=\"font-weight: 400;\"> (phentermine-topiramate ER), <\/span><span style=\"font-weight: 400;\">phentermine<\/span><span style=\"font-weight: 400;\">, or <\/span><span style=\"font-weight: 400;\">Contrave<\/span><span style=\"font-weight: 400;\">. TRICARE may cover those medications for weight loss, but only for certain beneficiary groups. Coverage also depends on your condition and certain criteria. Prior authorization and step therapy, which involves trying more affordable options first, are required.<\/span><\/p>\n<p><b> <\/b><b>Wegovy vs. Ozempic<\/b><b> \u2502<\/b><b>Zepbound vs. Ozempic<\/b><\/p>\n<h2 id=\"how-much-is-ozempic-without-insurance\"><span style=\"font-weight: 400;\">How much is Ozempic without insurance?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">If you are paying without insurance, a typical prescription of Ozempic (one 3 mL pen containing 2 mg\/3 mL) costs about $1,387. By using a  card or <\/span><span style=\"font-weight: 400;\">coupon<\/span><span style=\"font-weight: 400;\">, you can pay as low as $825 for your Ozempic pen\u2014a savings of $562 each time you fill your prescription.\u00a0<\/span><\/p>\n<h2 id=\"how-much-does-ozempic-cost-with-tricare\"><span style=\"font-weight: 400;\">How much does Ozempic cost with TRICARE?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">There are <\/span><a href=\"https:\/\/militaryrx.express-scripts.com\/GLP-1-medications-diabetes-weight-management\"><span style=\"font-weight: 400;\">several options in terms of pharmacies<\/span><\/a><span style=\"font-weight: 400;\"> where you can fill your Ozempic prescription with TRICARE, and your cost may vary by pharmacy:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Military Treatment Facility <\/b><span style=\"font-weight: 400;\">(<\/span><a href=\"https:\/\/tricare.mil\/GettingCare\/FindDoctor\/mtf\"><span style=\"font-weight: 400;\">MTF<\/span><\/a><span style=\"font-weight: 400;\">) pharmacy:<\/span> <span style=\"font-weight: 400;\">This is the primary pharmacy option for active duty service members. Prescriptions are typically filled at no cost ($0) at an MTF, but coverage rules still apply\u2014Ozempic is considered non-formulary and requires both prior authorization and a medical necessity form. Non-active duty beneficiaries may also use MTF pharmacies and may pay a reduced copay.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>TRICARE Home Delivery<\/b><span style=\"font-weight: 400;\"> (mail order): Up to a 90-day supply is available for $76 for non-active duty beneficiaries, with prior authorization required.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Retail pharmacies<\/b><span style=\"font-weight: 400;\"> in the <\/span><a href=\"https:\/\/www.express-scripts.com\/frontend\/standalone-ui\/#\/find-a-pharmacy\/commercial-oe\/search?memtype=tricare&amp;accessLink=TRICARE\"><span style=\"font-weight: 400;\">TRICARE network<\/span><\/a><span style=\"font-weight: 400;\">: A 30-day supply is typically $76 for non-active duty beneficiaries, with prior authorization required.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Because coverage and out-of-pocket costs can vary depending on your status, the pharmacy you use to fill your prescription, and any policy updates, it\u2019s always best to check your exact cost and coverage through the TRICARE Formulary Search Tool or by calling member services.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\t\t<\/p>\n<div id=\"coupon-cta\" class=\"coupon-cta master-template\">\n<p id=\"headline\">Save up to 80% on Ozempic with <\/p>\n<p id=\"subheadline\">Different pharmacies offer different prices for the same medication.  helps find the best price for you.<\/p>\n<div class=\"details-wrap\">\n<p>\n\t\t\t\t\tOzempic 2 mg\/3 mL (1 Pen)\t\t\t\t<\/p>\n<p>\n\t\t\t\t\t23666 &#8211; Hampton, VA\t\t\t\t<\/p>\n<\/p><\/div>\n<div class=\"api-response\">\n<div class=\"coupon\">\n<div class=\"logo\">\n\t\t\t<img decoding=\"async\" src=\"https:\/\/images.singlecare.com\/content\/images\/pharmacy\/logo-color-cvs.svg\" alt=\"CVS Pharmacy\"\/>\t\t\t<\/div>\n<\/p><\/div>\n<div class=\"coupon\">\n<div class=\"logo\">\n\t\t\t<img decoding=\"async\" src=\"https:\/\/images.singlecare.com\/content\/images\/pharmacy\/logo-color-kroger.svg\" alt=\"Kroger Pharmacy\"\/>\t\t\t<\/div>\n<\/p><\/div>\n<\/p><\/div>\n<p>\t\t\tSee Ozempic prices at all pharmacies\n\t\t<\/p><\/div>\n<p>\t\t<\/span><\/p>\n<h2 id=\"how-to-check-whether-your-tricare-plan-covers-ozempic\"><span style=\"font-weight: 400;\">How to check whether your TRICARE plan covers Ozempic\u00a0<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">You can visit the <\/span><a href=\"https:\/\/www.novocare.com\/diabetes\/products\/ozempic\/check-coverage.html\"><span style=\"font-weight: 400;\">Novo Nordisk NovoCare site<\/span><\/a><span style=\"font-weight: 400;\"> to see if your TRICARE plan covers Ozempic. Select government insurance, which includes TRICARE, and enter the required information to find out more about your benefits on your specific TRICARE health plan.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">You can also check the <\/span><a href=\"https:\/\/www.express-scripts.com\/frontend\/open-enrollment\/tricare\/fst\/#\/formularyPricing\/home\"><span style=\"font-weight: 400;\">TRICARE Formulary Search<\/span><\/a><span style=\"font-weight: 400;\"> feature. On this website, you will enter the drug Ozempic, select the prescribed dose, and enter your biological gender and age. The results will show different options based on your pharmacy (military pharmacy, mail order pharmacy, or retail pharmacy) and whether you are active duty or not active duty. Ozempic typically requires a prior authorization under TRICARE, which means your healthcare provider will have to submit information to your plan as to why this medicine is medically necessary, and then the plan will make a coverage decision.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">You can also call your TRICARE representative directly to find out more about Ozempic cost and coverage. Another way to find out about Ozempic coverage on your TRICARE plan is to have your healthcare provider send the prescription to your preferred pharmacy. The pharmacy staff will process the prescription and may be able to initiate the prior authorization process.\u00a0<\/span><\/p>\n<h2 id=\"how-to-save-on-ozempic\"><span style=\"font-weight: 400;\">How to save on Ozempic<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">One of the best ways to save money on Ozempic is by using a <\/span><span style=\"font-weight: 400;\"> coupon<\/span><span style=\"font-weight: 400;\">. It\u2019s free to use, and you can use the discount every month to save hundreds of dollars on your prescription.  is accepted at over <\/span><span style=\"font-weight: 400;\">35,000 pharmacies<\/span><span style=\"font-weight: 400;\"> in the U.S. and Puerto Rico.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">There are also other <\/span><span style=\"font-weight: 400;\">ways to save on Ozempic<\/span><span style=\"font-weight: 400;\">. The manufacturer\u2019s website lists various savings options. However, these options have eligibility criteria and are typically only for people with commercial health insurance (or who are uninsured)\u2014people with government insurance plans such as TRICARE do not qualify for these offers. You can also check prices at various pharmacies to see who has the best prices\u2014what\u2019s more, some pharmacies may offer a discount if you purchase a larger quantity up front (such as a three-month supply). It\u2019s also a good idea to ask your pharmacist or healthcare provider if they know of any local resources in your community that can help pay for the cost of your medicines.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">If you have tried all available options to save on Ozempic and the price is still expensive, you can talk to your healthcare provider about other <\/span><span style=\"font-weight: 400;\">alternatives<\/span><span style=\"font-weight: 400;\"> that are just as effective and fit your treatment plan.\u00a0<\/span><\/p>\n<p><svg style=\"display:none\">\n  <g id=\"facebook\">\n    <rect width=\"32\" height=\"32\" rx=\"4\" fill=\"var(--social-bg)\"\/>\n    <path fill=\"var(--social-ico)\" d=\"M19.51 9.32003H21.39V6.14003C20.4798 6.04538 19.5652 5.99865 18.65 6.00003C15.93 6.00003 14.07 7.66003 14.07 10.7V13.32H11V16.88H14.07V26H17.75V16.88H20.81L21.27 13.32H17.75V11.05C17.75 10 18.03 9.32003 19.51 9.32003Z\"\/>\n  <\/g>\n  <g id=\"twitter\">\n    <rect width=\"32\" 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