{"id":633569,"date":"2025-09-16T11:48:59","date_gmt":"2025-09-16T15:48:59","guid":{"rendered":"https:\/\/www.singlecare.com\/blog\/?p=633569"},"modified":"2025-10-07T21:41:53","modified_gmt":"2025-10-08T01:41:53","slug":"does-tricare-cover-ozempic","status":"publish","type":"post","link":"https:\/\/www.singlecare.com\/blog\/does-tricare-cover-ozempic\/","title":{"rendered":"Does TRICARE cover Ozempic?"},"content":{"rendered":"

Ozempic<\/span><\/a> is a brand-name prescription drug that the Food and Drug Administration (FDA) has approved for Type 2 diabetes, cardiovascular risk reduction, and kidney disease in adults. Healthcare providers may also prescribe Ozempic <\/span>off-label<\/span><\/a> (a non-FDA-approved use) for <\/span>weight loss<\/span><\/a> and long-term weight management. <\/span>Ozempic<\/span><\/a> is part of a group of drugs called glucagon-like peptide-1 receptor agonists (<\/span>GLP-1s<\/span><\/a>) and contains the active ingredient semaglutide. If you are prescribed this once-weekly injectable medicine, you may want to know whether your TRICARE plan provides coverage, since Ozempic can be expensive without insurance or prescription discounts.\u00a0<\/span><\/p>\n

Does TRICARE cover Ozempic?<\/span><\/h2>\n

Many TRICARE plans provide coverage of Ozempic for Type 2 diabetes, although coverage varies by plan.\u00a0\u00a0\u00a0<\/span><\/p>\n

In order for <\/span>TRICARE<\/span><\/a> to cover Ozempic, you\u2019ll need to meet the clinical criteria for Type 2 diabetes and have your healthcare provider submit a <\/span>prior authorization<\/span><\/a> form. As of Aug. 31, 2025, your healthcare provider will also have to submit proof of medical necessity, but only if you choose to have your Ozempic prescription filled at a military pharmacy and pay the lower formulary copay. If you fill your prescription at a retail or mail-order pharmacy, a prior authorization should suffice. This coverage also applies to similar drugs like <\/span>Mounjaro<\/span><\/a>, <\/span>Victoza<\/span><\/a>, and <\/span>Trulicity<\/span><\/a>.\u00a0<\/span><\/p>\n

Currently, TRICARE covers Ozempic for Type 2 diabetes, but <\/span>not for weight loss<\/span><\/a>. If you have TRICARE and want coverage for weight loss medication, you may want to consider <\/span>Wegovy<\/span><\/a> (semaglutide), <\/span>Zepbound<\/span><\/a> (tirzepatide), <\/span>Saxenda<\/span><\/a> (liraglutide), <\/span>Qsymia<\/span><\/a> (phentermine-topiramate ER), <\/span>phentermine<\/span><\/a>, or <\/span>Contrave<\/span><\/a>. TRICARE may cover those medications for weight loss, but only for certain beneficiary groups. Coverage also depends on your condition and certain criteria. Prior authorization and step therapy, which involves trying more affordable options first, are required.<\/span><\/p>\n

RELATED: <\/b>Wegovy vs. Ozempic<\/b><\/a> \u2502<\/b>Zepbound vs. Ozempic<\/b><\/a><\/p>\n

How much is Ozempic without insurance?<\/span><\/h2>\n

If you are paying without insurance, a typical prescription of Ozempic (one 3 mL pen containing 2 mg\/3 mL) costs about $1,387. By using a SingleCare card or <\/span>coupon<\/span><\/a>, you can pay as low as $825 for your Ozempic pen\u2014a savings of $562 each time you fill your prescription.\u00a0<\/span><\/p>\n

RELATED: Does Kaiser cover Ozempic?<\/a><\/strong><\/p>\n

How much does Ozempic cost with TRICARE?<\/span><\/h2>\n

There are <\/span>several options in terms of pharmacies<\/span><\/a> where you can fill your Ozempic prescription with TRICARE, and your cost may vary by pharmacy:<\/span><\/p>\n