Will Tricare Cover GLP 1: What I Found Checking the Fine Print

Thu, 25 Aug 2022 18:04:14 -0500

Yes, Tricare covers GLP-1 medications like Ozempic, Mounjaro, and Wegovy—but not automatically. I’ve spent the last two weeks digging through the Tricare pharmacy benefit manual and talking to a retired Navy corpsman who handles claims. Here’s the short version: if you have Type 2 diabetes, coverage is pretty straightforward once your doctor submits the prior authorization. If you’re hoping to use it for weight loss alone, you’re in murkier territory. Tricare’s formulary classifies most GLP-1s as non-formulary for obesity, which means you’ll likely get a denial letter at first. But that denial isn’t the end of the road—it’s the beginning of an appeal process that actually works if you know the right language to use.

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Will Tricare Cover GLP 1: What I Found Checking the Fine Print