Veterans' Aspirin Copays Shift in 2025 VA Update
Published Date: 3/11/2025
Notice
Summary
Starting January 1, 2025, the VA is updating its list of Tier 1 medications, which means veterans will see changes in their copayments for certain common drugs like aspirin and cholesterol meds. These updates help keep costs fair and clear for veterans getting outpatient prescriptions. The new list stays active through the whole year, so veterans can plan their healthcare spending with confidence.
Analyzed Economic Effects
5 provisions identified: 0 benefits, 0 costs, 5 mixed.
VA updates 2025 Tier 1 drug list
You are a veteran who gets outpatient prescriptions from VA. Starting January 1, 2025, VA published an updated Tier 1 medication list that will remain in effect through December 31, 2025; this update means copayments for medications on that list may change for veterans.
Common pain medicines placed in Tier 1
If you fill VA prescriptions for arthritis or pain, medicines such as aspirin (buffered, chewable, enteric coated), ibuprofen, naproxen, meloxicam, celecoxib, diclofenac, and allopurinol are listed as Tier 1 effective January 1, 2025 through December 31, 2025, and your copayment for these listed drugs may change.
Cholesterol drugs included in Tier 1
If you take VA prescriptions for cholesterol, drugs including atorvastatin, simvastatin, pravastatin, rosuvastatin, ezetimibe, and fenofibrate are on the Tier 1 list effective January 1, 2025 through December 31, 2025, and your copayment for these listed drugs may change.
Diabetes medications added to Tier 1
If you fill VA prescriptions for diabetes, medicines such as metformin (including 24-hour sustained action), glipizide, and pioglitazone are listed as Tier 1 effective January 1, 2025 through December 31, 2025, which means your copayment for these listed drugs may change.
Mental health medicines listed as Tier 1
If you receive VA outpatient prescriptions for mental health, many medications (for example, sertraline, fluoxetine, citalopram, bupropion formulations, duloxetine, venlafaxine, quetiapine IR, trazodone, mirtazapine, and others) are on the Tier 1 list effective January 1, 2025 through December 31, 2025, and your copayment for these listed drugs may change.
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