Does TRICARE cover Mounjaro?
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TRICARE covers Mounjaro for type 2 diabetes for all beneficiaries with prior authorization, plus a medical necessity form for the formulary copayment and for coverage at a military pharmacy.
What TRICARE specifically requires
Sources: TRICARE Newsroom: coverage of weight loss medications (Aug 5, 2025)
About TRICARE coverage
- Since August 31, 2025, TRICARE For Life and direct-care-only beneficiaries have no coverage for weight-loss drugs, and earlier approvals for them are no longer valid. TRICARE Newsroom: coverage of weight loss medications, Aug 5, 2025
- Weight-loss drug coverage applies to TRICARE Prime, TRICARE Select, TRICARE Young Adult, TRICARE Reserve Select, TRICARE Retired Reserve and the Continued Health Care Benefit Program, with a prescription from a network provider. TRICARE Newsroom: coverage of weight loss medications, Aug 5, 2025
- The Wegovy and Zepbound prior authorization form requires a 3-month trial of a generic stimulant such as phentermine that did not produce 5% weight loss, unless it is contraindicated or not tolerated. TRICARE prior authorization form: Wegovy, Zepbound (Express Scripts), Form revised Aug 24, 2024
- Approvals last 12 months. Renewal requires at least 5% loss from baseline after full dose titration (4% for Wegovy in ages 12 to 17). TRICARE prior authorization form: Wegovy, Zepbound (Express Scripts), Form revised Aug 24, 2024
- 2026 copays: $48 per 30-day supply of a brand-name formulary drug at a retail network pharmacy, $44 per 90-day supply by home delivery; active duty service members pay $0. Defense Health Agency: 2026 TRICARE pharmacy costs, Nov 13, 2025
Where to get Mounjaro
Telehealth services that handle Mounjaro, useful while prior auth processes or as a cash-pay alternative. We may earn a commission. See disclosure.
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Does TRICARE cover Mounjaro?+
TRICARE covers Mounjaro for type 2 diabetes for all beneficiaries with prior authorization, plus a medical necessity form for the formulary copayment and for coverage at a military pharmacy.
Does TRICARE require prior authorization for Mounjaro?+
Yes. TRICARE requires prior authorization for Mounjaro. Your prescriber submits the request with the documentation listed in the TRICARE criteria on this page.