Does TRICARE cover Wegovy?
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TRICARE Prime and Select, plus Young Adult, Reserve Select, Retired Reserve and CHCBP, cover Wegovy for weight loss with prior authorization and a prescription from a network provider. TRICARE For Life and direct-care-only beneficiaries lost weight-loss drug coverage on August 31, 2025.
What TRICARE specifically requires
- BMI of 30 or more, or 27 or more with diabetes, impaired glucose tolerance, dyslipidemia, hypertension or sleep apnea
- At least 6 months of behavior change and dietary restriction without reaching the desired weight loss, and staying engaged during treatment
- A 3-month trial of generic phentermine, benzphetamine, diethylpropion or phendimetrazine that did not produce 5% weight loss, unless contraindicated or not tolerated
- Not used with another GLP-1 (e.g., Ozempic, Mounjaro, Trulicity)
- Approval: 12 months; renewal needs at least 5% loss from baseline after full dose titration (4% for ages 12 to 17)
Sources: TRICARE Newsroom: coverage of weight loss medications (Aug 5, 2025); TRICARE prior authorization form: Wegovy, Zepbound (Express Scripts) (Form revised Aug 24, 2024); Defense Health Agency: 2026 TRICARE pharmacy costs (Nov 13, 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For Life and direct-care-only beneficiaries have no coverage for weight-loss drugs, and earlier approvals for them are no longer valid.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
Typical out-of-pocket
2026 TRICARE copays: $48 per 30-day supply of a brand-name formulary drug at a retail network pharmacy or $44 per 90-day supply by home delivery; non-formulary drugs cost $85 at either. Active duty service members pay $0. Actual copay depends on your specific plan's pharmacy benefit tier.
If you're denied
If you have TRICARE For Life or direct-care-only access, a weight-loss approval is not available under the rules in effect since August 31, 2025. On Prime or Select, compare the denial against the questions on the prior authorization form, including the 3-month generic stimulant trial.
Where to get Wegovy
Telehealth services that handle Wegovy, useful while prior auth processes or as a cash-pay alternative. We may earn a commission. See disclosure.
Ro
from $149/mo- Best for insured patients
- Best for clinical oversight
Ro Body, branded GLP-1 weight care program
Hims
from $149/mo- Best for cash-pay
- Best for speed
Hims Weight Loss, branded GLP-1 on a monthly membership
TRICARE not the right plan?
Coverage varies between carriers and even between plans at the same carrier. Compare GLP-1 coverage across 20 US insurers and programs, or run the insurance pre-check to estimate your specific plan's odds.
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Frequently asked
Does TRICARE cover Wegovy?+
TRICARE Prime and Select, plus Young Adult, Reserve Select, Retired Reserve and CHCBP, cover Wegovy for weight loss with prior authorization and a prescription from a network provider. TRICARE For Life and direct-care-only beneficiaries lost weight-loss drug coverage on August 31, 2025.
Does TRICARE require prior authorization for Wegovy?+
Yes. TRICARE requires prior authorization for Wegovy. Your prescriber submits the request with the documentation listed in the TRICARE criteria on this page.
What if TRICARE denies my Wegovy prescription?+
If you have TRICARE For Life or direct-care-only access, a weight-loss approval is not available under the rules in effect since August 31, 2025. On Prime or Select, compare the denial against the questions on the prior authorization form, including the 3-month generic stimulant trial.
What is the Wegovy copay with TRICARE?+
2026 TRICARE copays: $48 per 30-day supply of a brand-name formulary drug at a retail network pharmacy or $44 per 90-day supply by home delivery; non-formulary drugs cost $85 at either. Active duty service members pay $0. Actual copay depends on your specific plan tier and any pharmacy benefit manager carve-outs.