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TRICARE GLP-1 Coverage

Coverage details, copay estimates, and tips for getting GLP-1 medications approved through TRICARE.

Last verified: 2026-04-01
Medication Coverage
Wegovy
CoveredPA Required
Zepbound
CoveredPA Required
Foundayo
Pending
Mounjaro
CoveredPA Required
Ozempic
CoveredPA Required
Estimated Copay

$0-34/mo depending on plan tier

Key Facts
  • •All GLP-1s are covered for military and dependents with PA.
  • •No step therapy required — coverage is direct after PA approval.
  • •Copays vary by plan tier (e.g., TRICARE Prime vs. TRICARE Select).
  • •Foundayo is under review and may be added in future updates.
Prior Authorization Tips
  1. 1.Submit PA request through the TRICARE online portal or with your provider.
  2. 2.Ensure your diagnosis code is approved for GLP-1 coverage (e.g., E66.9).
  3. 3.Use TRICARE Pharmacy Network pharmacies to avoid higher costs.
If Your Claim Is Denied
  1. 1.Appeal within 180 days with updated clinical documentation.
  2. 2.Request a review by a TRICARE medical director if denied.
  3. 3.Include a letter from your provider stating medical necessity.

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Medical Disclaimer: This page is for informational purposes only and does not constitute medical or insurance advice. Coverage details change frequently — always confirm with your insurance provider. MedSwitcher may earn a commission from affiliate links at no extra cost to you.

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