A:
A limited list of medications are classified as Tier 4 Non-Covered. These drugs are not covered for any beneficiary at any pharmacy. Medical Necessity and Prior Authorization are not available for these medications. These drugs have alternatives available. Check the Formulary Search Tool and speak with your provider about alternative medications.
NOTE: In some cases your medication (injections and vaccines) may be covered as a medical benefit so you can call your TRICARE Regional Contractor.