FreeStyle Libre 2 and Dexcom G6 Now Covered under the TRICARE Pharmacy Program
Thursday, June 9, 2022
Retroactive to April 20, 2022, TRICARE covers the FreeStyle Libre 2 and the Dexcom G6 continuous glucose monitors as a brand-name formulary pharmacy benefit under the TRICARE Pharmacy Program managed by Express Scripts®. Previously, these continuous glucose monitors were only covered as durable medical equipment under the TRICARE basic benefit. Please note, all continuous glucose monitoring systems, including the two listed above, remain covered under TRICARE’s durable medical equipment benefit as determined by TRICARE policy (TPM Chapter 8, Section 5.3). Cost-shares may apply for durable medical equipment (excluding active duty TRICARE Prime members).
Beneficiaries prescribed either of these continuous glucose monitors can receive them through:
- Military pharmacies – no copayment applies
- Home delivery – copayment applies
- Network pharmacies – copayment applies
Note: Active duty service members do not pay a copayment for covered prescriptions at any pharmacy.
Prescribers must request prior authorization by contacting Express Scripts at 1-866-684-4488 or faxing a completed prior authorization form to 1-866-684-4477. Search for “FreeStyle Libre 2” or “Dexcom G6” in Express Scripts’ formulary tool at www.militaryrx.express-scripts.com for details.
To learn more about TRICARE’s pharmacy benefit, visit www.tricare.mil.