diff --git a/src/strands/models/anthropic.py b/src/strands/models/anthropic.py
index 812171a0c..ae028064d 100644
--- a/src/strands/models/anthropic.py
+++ b/src/strands/models/anthropic.py
@@ -359,14 +359,27 @@ def format_chunk(self, event: dict[str, Any]) -> StreamEvent:
 
             case "metadata":
                 usage = event["usage"]
+                input_tokens = usage["input_tokens"]
+                output_tokens = usage["output_tokens"]
+                cache_read = usage.get("cache_read_input_tokens") or 0
+                cache_write = usage.get("cache_creation_input_tokens") or 0
+                # Anthropic reports `input_tokens` as the NON-CACHED portion only.
+                # `totalTokens` should reflect everything billed on the input side:
+                # uncached + cache reads + cache writes.
+                total_input = input_tokens + cache_read + cache_write
+                usage_chunk: dict[str, int] = {
+                    "inputTokens": input_tokens,
+                    "outputTokens": output_tokens,
+                    "totalTokens": total_input + output_tokens,
+                }
+                if cache_read:
+                    usage_chunk["cacheReadInputTokens"] = cache_read
+                if cache_write:
+                    usage_chunk["cacheWriteInputTokens"] = cache_write
 
                 return {
                     "metadata": {
-                        "usage": {
-                            "inputTokens": usage["input_tokens"],
-                            "outputTokens": usage["output_tokens"],
-                            "totalTokens": usage["input_tokens"] + usage["output_tokens"],
-                        },
+                        "usage": usage_chunk,
                         "metrics": {
                             "latencyMs": 0,  # TODO
                         },
diff --git a/tests/strands/models/test_anthropic.py b/tests/strands/models/test_anthropic.py
index 0ebdb161c..357d58266 100644
--- a/tests/strands/models/test_anthropic.py
+++ b/tests/strands/models/test_anthropic.py
@@ -727,6 +727,60 @@ def test_format_chunk_metadata(model):
     assert tru_chunk == exp_chunk
 
 
+def test_format_chunk_metadata_with_cache_tokens(model):
+    """When prompt caching is active, Anthropic returns cache_read_input_tokens
+    and cache_creation_input_tokens alongside input_tokens; surface them so
+    downstream cost accounting reflects what the user is billed for."""
+    event = {
+        "type": "metadata",
+        "usage": {
+            "input_tokens": 5,
+            "output_tokens": 7,
+            "cache_read_input_tokens": 100,
+            "cache_creation_input_tokens": 50,
+        },
+    }
+
+    tru_chunk = model.format_chunk(event)
+    exp_chunk = {
+        "metadata": {
+            "usage": {
+                "inputTokens": 5,
+                "outputTokens": 7,
+                # 5 (uncached) + 100 (cache read) + 50 (cache write) + 7 (output)
+                "totalTokens": 162,
+                "cacheReadInputTokens": 100,
+                "cacheWriteInputTokens": 50,
+            },
+            "metrics": {
+                "latencyMs": 0,
+            },
+        },
+    }
+
+    assert tru_chunk == exp_chunk
+
+
+def test_format_chunk_metadata_omits_zero_cache_tokens(model):
+    """When cache fields are absent or zero, keep the legacy chunk shape so
+    consumers expecting only inputTokens/outputTokens keep working."""
+    event = {
+        "type": "metadata",
+        "usage": {
+            "input_tokens": 5,
+            "output_tokens": 7,
+            "cache_read_input_tokens": 0,
+            "cache_creation_input_tokens": 0,
+        },
+    }
+
+    tru_chunk = model.format_chunk(event)
+
+    assert "cacheReadInputTokens" not in tru_chunk["metadata"]["usage"]
+    assert "cacheWriteInputTokens" not in tru_chunk["metadata"]["usage"]
+    assert tru_chunk["metadata"]["usage"]["totalTokens"] == 12
+
+
 def test_format_chunk_unknown(model):
     event = {"type": "unknown"}