Skip to main content

Military Health System

TRICARE Answers Your Questions About Baby Formula

Image of Baby smiling. The shortage of baby formula is having an impact on millions of families, including military families. Learn what TRICARE does and doesn't cover.

Recommended Content:

Information for Patients: About TRICARE | Children's Health

FALLS CHURCH, Va.  –  The shortage of baby formula is having an impact on millions of families. This includes military families living in the U.S. and overseas. It's important you know what TRICARE does and doesn't cover. Here are a few questions and answers about infant formula coverage to help.

"The formula shortage is a concerning and challenging situation and one that the Defense Health Agency is taking seriously," said Elan Green, chief of TRICARE Health Plan's Member Benefits and Reimbursement Section. "We understand that parents are worried. We know that clear information can help you navigate this difficult time."

Q: Does TRICARE cover baby formula?
A: TRICARE covers baby formula that's medically necessary. This includes:

  • Regular infant formula for children who have feeding tubes (separately, TRICARE also covers specialized formulas for adults or older children with feeding tubes or who can't eat solid foods)
  • High-protein formula for infants on ketogenic diets to control seizures
  • Special formulas for those who can't digest certain foods or nutrients

Your child's doctor must diagnose and prescribe a special formula. Note: TRICARE doesn't cover formula for healthy infants and children.

Q: Who is eligible to get medically necessary formula?
A: If you meet conditions of coverage on medical foods, TRICARE may cover your specialty formulas or other medical foods. Remember that care must be medically necessary and appropriate. You can review the kinds of medically necessary foods that TRICARE covers by checking out the Nutritional Therapy page. The type of formula depends on the medical need.

Q: Does TRICARE ship formula?
A: No. TRICARE doesn't directly ship formula to families.

Q: How much does the prescribed formula cost?
A: Your costs for covered medical foods depend on your health plan. It also depends on your beneficiary category. Visit the TRICARE Costs page and look under "Medical Supplies" to learn more.

Q: What if I can't get my baby's prescription formula?
A: If you have a child whose medically necessary formula is unavailable, you should work with your pediatrician, primary care manager (PCM), or specialist such as a pediatric registered dietitian. TRICARE will cover your appointments to talk about options for your child.

Q: What suggestions are there for parents trying to feed their infants?
A: Do not attempt to make your own formula. The Food and Drug Administration (FDA) "advises parents and caregivers to not make or feed homemade infant formula to infants. Homemade infant formula recipes have not been evaluated by the FDA and may lack nutrients vital to an infant's growth … The agency has received reports of hospitalized babies who had been fed homemade infant formula … which can be life-threatening." The FDA recommends asking your child's pediatrician, PCM, or specialist for guidance on changing your child's formula or feeding practices. You can go to the FDA website to find other recommendations and warnings for parents trying to find formula.

The American Academy of Pediatrics also encourages you to talk with your child's doctor if you have any concerns about your baby's health and nutrition. If your child has special health needs, be sure to check with their doctor about medically appropriate and safe feeding alternatives.

"We understand that this is a very stressful time for military families with babies," said Green. "Because TRICARE doesn't have a supply of infant formula, it's best you consult with your pediatrician, PCM, or specialist."

If you have questions about TRICARE covered services or costs, you can refer to the TRICARE website. You can also reach out to your TRICARE regional contractor for more information. Remember that your best resource for guidance and advice on your options is your child's health care provider.

You also may be interested in...

TRICARE Prime Remote Overseas (Briefing Slides)

Presentation
6/30/2022

Reviews costs; types of providers and how to get care; getting care while traveling; pharmacy and dental coverage; how TRICARE works with other health insurance; medical record translation; and claims processing.

Recommended Content:

Information for Patients: About TRICARE

TRICARE Prime Remote Overseas (Speaker Notes)

Presentation
6/30/2022

Speaker notes to accompany the TRICARE briefing titled, “TRICARE Prime Remote Overseas Briefing”.

Recommended Content:

Information for Patients: About TRICARE

TRICARE Maternity and Newborn Care (Briefing Slides)

Presentation
6/24/2022

Reviews maternity care services available to beneficiaries who are pregnant (or planning to become pregnant), are in the process of adopting, or have a newborn or newly adopted child. Also includes eligibility and health plan options; maternity provider and delivery options (including overseas); newborn care; and TRICARE coverage for newborns.

Recommended Content:

Information for Patients: About TRICARE

TRICARE Maternity and Newborn Care (Speaker Notes)

Presentation
6/24/2022

Speaker notes to accompany the TRICARE briefing titled, "TRICARE Maternity and Newborn Care".

Recommended Content:

Information for Patients: About TRICARE

TRICARE Select Overseas (Briefing Slides)

Presentation
6/1/2022

Reviews provider types and options for care; costs; services not covered overseas; claims processing; traveling in the U.S.; aeromedical evacuations; pharmacy, dental, and vision coverage; and how TRICARE works with other health insurance.

Recommended Content:

Information for Patients: About TRICARE

TRICARE Prime Remote Overseas (Briefing Slides)

Presentation
6/1/2022

Reviews costs; types of providers and how to get care; getting care while traveling; pharmacy and dental coverage; how TRICARE works with other health insurance; medical record translation; and claims processing.

Recommended Content:

Information for Patients: About TRICARE

TRICARE Overseas Program (Speaker Notes)

Presentation
6/1/2022

Speaker notes to accompany the TRICARE briefing titled, "TRICARE Overseas Program".

Recommended Content:

Information for Patients: About TRICARE

TRICARE Select Overseas (Speaker Notes)

Presentation
6/1/2022

Speaker notes to accompany the briefing titled, "TRICARE Select Overseas".

Recommended Content:

Information for Patients: About TRICARE

October UBO Post Test

Presentation
10/28/2021

CCV Post Test

Recommended Content:

Information for Patients: About TRICARE

October UBO Webinar

Presentation
10/28/2021

Creating a Cash Collection Voucher (CCV/DD Form 1131) in ABACUS

Recommended Content:

Information for Patients: About TRICARE

Getting Health Care for Foreign Force Members and Their Families (Speaker Notes)

Presentation
6/1/2021

Speaker notes to accompany the TRICARE briefing titled, "Getting Heath Care for Foreign Force Members and Their Families".

Recommended Content:

Information for Patients: About TRICARE

Getting Health Care for Foreign Force Members and Their Families (Briefing Slides)

Presentation
6/1/2021

Reviews TRICARE eligibility for Foreign Force Members (North Atlantic Treaty Organization [NATO] and Partnership for Peace) and their eligible family members stationed in the U.S. It covers health, pharmacy, and dental coverage options.

Recommended Content:

Information for Patients: About TRICARE

Expanded TRICARE Benefits for Certain National Guard Members

Presentation
11/6/2018

This brief describes the benefits that certain National Guard members are eligible for when they've received active duty orders for a preplanned mission.

Recommended Content:

Information for Patients: About TRICARE

National Guard Benefits During Natural Disaster Duty

Presentation
10/1/2018

This brief provides an overview of possible benefits for you and your family if you're placed on state active duty orders for a disaster response

Recommended Content:

Information for Patients: About TRICARE

TRICARE 101

Presentation
9/4/2008

TRICARE 101 presented to the Defense Health Board Sept. 4, 2008

Recommended Content:

Information for Patients: About TRICARE
Showing results 1 - 15 Page 1 of 1
Refine your search
Last Updated: May 27, 2022
Follow us on Instagram Follow us on LinkedIn Follow us on Facebook Follow us on Twitter Follow us on YouTube Sign up on GovDelivery