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AFAP Search > Search Results > TRICARE Coverage for Prescribed Nutritional Supplements
Issue Summary

TRICARE Coverage for Prescribed Nutritional Supplements

Issue Number 508
Status Completed
Issue Title TRICARE Coverage for Prescribed Nutritional Supplements
Scope TRICARE beneficiaries, on outpatient status, with terminal illness or acute/chronic conditions are not being covered for medically necessary nutritional supplements required to sustain life. Currently, many nutritional supplements (such as, but not limited to, Ensure, Boost, Sustacal, Nutramagen) are classified as food and are not covered by TRICARE regardless of beneficiaries’ medical condition. This causes undue financial hardship on beneficiaries due to the high cost of medically necessary supplements.
Issue Recommendation Provide TRICARE coverage for all medically necessary nutritional substances or therapeutic dietary supplements prescribed by a health care provider.
Military Component Active Component
Demographic Group Family Members, Retirees
Subject Area Medical
Geographic Area Universal
Entered AFAP Mar 2002
Final Action Date Nov 2003
Accomplishments TRICARE policy change (17 Apr 03) authorizes TRICARE coverage of nutrition supplements that are the primary source of nutrition and are deemed medically necessary. TRICARE will cover medically necessary supplies and nutrition products for enteral, parenteral and oral nutrition therapy. This new policy was published in the TRICARE Manual.
Outstanding Requirement
Submitting Command
For any questions regarding this issue, please alert the point of contact via email.

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