Does TRICARE cover GLP-1s?
What TRICARE (Defense Health Agency); pharmacy benefit administered by Express Scripts, the TRICARE Pharmacy Program contractor says on its own pages (tricare.mil), sorted by topic. Your own plan documents decide what you get.
Read Sep 28, 2026. Each line names the plan type it applies to.
Does it cover GLP-1s for weight loss?
- Express Scripts (the TRICARE pharmacy contractor) says weight loss medications such as Wegovy and Zepbound are covered for TRICARE Prime and TRICARE Select beneficiaries with an approved prior authorization.TRICARE:
Weight loss medications (i.e. Wegovy, Zepbound, Contrave, Qsymia, and phentermine) are covered for beneficiaries with TRICARE Prime and TRICARE Select, with an approved prior authorization.
militaryrx.express-scripts.com, Sep 29, 2026 - Express Scripts (TRICARE pharmacy contractor) says that as of Aug 31, 2025, weight loss medication coverage is no longer available to beneficiaries who are not in TRICARE Prime or TRICARE Select.TRICARE:
As of August 31, 2025, coverage for weight loss medications will no longer be available for non-TRICARE Prime and non-TRICARE Select beneficiaries.
militaryrx.express-scripts.com, Sep 29, 2026 - Express Scripts blog (published 8/13/2025): DHA regulatory controls mean TRICARE covers weight loss medications only for TRICARE Prime and TRICARE Select when obesity is the sole or major condition treated.TRICARE:
The Defense Health Agency has implemented regulatory controls that affect how TRICARE covers weight loss medication. TRICARE only covers weight loss medication(s) for TRICARE Prime and TRICARE Select when obesity is the sole or major condition treated.
militaryrx.express-scripts.com, Sep 29, 2026
Does it depend on your employer or plan?
- Coverage depends on the TRICARE plan type rather than an employer: Express Scripts (TRICARE pharmacy contractor) says a previously approved weight-loss prior authorization is no longer valid for anyone not in TRICARE Prime or TRICARE Select (blog published 8/13/2025).TRICARE:
If you are not a TRICARE Prime or TRICARE Select beneficiary, and you previously had an approved prior authorization for weight loss drugs, it’s no longer valid. You will need to see your provider to discuss your options.
militaryrx.express-scripts.com, Sep 29, 2026
Prior authorization criteria
- Express Scripts (TRICARE pharmacy contractor) FAQ: this line introduces the list of conditions weight loss medications must meet under the TRICARE pharmacy benefit (the two items are the next two facts).TRICARE:
Weight loss medications must be:
militaryrx.express-scripts.com, Sep 29, 2026 - First listed condition for TRICARE weight loss medications (Express Scripts FAQ): prescribed by a TRICARE-authorized provider, including at a military hospital or clinic.TRICARE:
Prescribed by a TRICARE-authorized provider, including those at military hospital or clinic.
militaryrx.express-scripts.com, Sep 29, 2026 - Second listed condition for TRICARE weight loss medications (Express Scripts FAQ): filled at a TRICARE network pharmacy.TRICARE:
Filled at a TRICARE network pharmacy
militaryrx.express-scripts.com, Sep 29, 2026 - Express Scripts blog (8/13/2025): TRICARE Prime and TRICARE Select members keep coverage under a previously approved prior authorization.TRICARE:
If you have TRICARE Prime or TRICARE Select, these medications are still covered with a previously approved prior authorization.
militaryrx.express-scripts.com, Sep 29, 2026
Type 2 diabetes
- Express Scripts (TRICARE pharmacy contractor): the TRICARE pharmacy benefit covers Trulicity, Ozempic, Mounjaro and Victoza for type 2 diabetes with an approved prior authorization.TRICARE:
Your TRICARE pharmacy benefit covers certain approved GLP-1 medications for type 2 diabetes with an approved prior authorization (i.e. Trulicity, Ozempic, Mounjaro, and Victoza).
militaryrx.express-scripts.com, Sep 29, 2026 - Express Scripts blog (8/13/2025): GLP-1s for type 2 diabetes remain covered for all patients with a diabetes diagnosis when prior authorization requirements are met; cost-shares unchanged.TRICARE:
Glucagon-Like Peptide 1 (GLP-1s) for the treatment of type 2 diabetes continues to be covered for all patients with a diagnosis of diabetes when prior authorization requirements are met. Cost-shares for these medications remain unchanged.
militaryrx.express-scripts.com, Sep 29, 2026
How to check your own plan
- Express Scripts (TRICARE pharmacy contractor) tells members to use the TRICARE Formulary Search Tool (linked on the page to https://www.express-scripts.com/frontend/open-enrollment/tricare/fst/) to look up a drug and its required forms.TRICARE:
Use the TRICARE Formulary Search tool to search for your drug and find any required forms.
militaryrx.express-scripts.com, Sep 29, 2026 - Express Scripts describes the TRICARE Formulary Search Tool (FST) as showing coverage, where to fill, and cost-shares.TRICARE:
The Formulary Search Tool (FST) is a digital tool you can use to see your medication coverage, find out where you can fill your prescriptions at each point of service and determine any relevant cost-shares.
militaryrx.express-scripts.com, Sep 29, 2026 - Express Scripts phone number for TRICARE pharmacy benefit questions: 877-363-1303.TRICARE:
If you have any questions about your TRICARE pharmacy benefit, please call Express Scripts at 877.363.1303.
militaryrx.express-scripts.com, Sep 29, 2026
What we could not confirm
- No web page from TRICARE that we could read covers: sleep apnea (zepbound); heart risk (wegovy); recent changes.
- More detail, such as exact BMI cutoffs, is in 2 PDF documents from TRICARE, which we have not opened.
- 7 of its pages blocked automated reading.
Next steps
- Prior authorization and appeal letter templates
- Can you use the maker's savings card with your coverage?
- If it is not covered: the lowest verified cash prices
Other insurers: Aetna, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Illinois, Blue Shield of California, Cigna, Florida Blue, Highmark, Humana, Independence Blue Cross, Kaiser Permanente, Molina Healthcare, Oscar Health, Premera Blue Cross, UnitedHealthcare, Ambetter, Wellcare, FEP Blue (federal employees), BlueCross BlueShield of South Carolina, CareFirst BlueCross BlueShield