[HEALTH.MIL] TRICARE Drug Co-Pay Hike on Horizon

  • From: HEALTH.MIL@xxxxxxxxxxxxx
  • To: <HEALTH.MIL@xxxxxxxxxxxxx>, <TFL@xxxxxxxxxxxxx>
  • Date: Thu, 31 Jan 2013 13:36:20 -0600

TRICARE Drug Co-Pay Hike on Horizon
By Kellie Lunney 
12:00 AM ET

Some TRICARE beneficiaries will pay higher co-pays for prescription drugs
beginning Feb. 1
Those affected will pay anywhere from $4 to $19 more for brand name and
non-formulary medications that are not filled at military clinics or hospitals.
The fiscal 2013 Defense Authorization Act mandated the increases, but it could
have been worse. Congress decided to reject the Obama administration's proposal
that would have doubled and tripled what beneficiaries spend on pharmacy drug
The co-payments for generic drugs filled at the pharmacy remains $5. There is no
co-pay when generic prescriptions are obtained through home delivery or
The law also caps pharmacy co-pays beginning in 2014 so that such fees are in
line with the annual retiree cost-of-living adjustment. The costs associated
with the modest fee increases would be offset by a five-year pilot program
requiring TRICARE for Life recipients to obtain maintenance drug refills through
the mail, which is cheaper than obtaining them through retail pharmacies.
Here's the breakdown:

  o  $13: The amount affected beneficiaries will pay for a three-month supply of
brand-name drugs obtained through home delivery, up from $9.

  o  $17: The co-pay for a month-supply of brand-name drugs purchased at a
retail pharmacy, up from $12.

  o  $43: The new co-pay for a three-month supply of non-formulary medications
filled through the mail, up from $25.

  o  $44: The amount beneficiaries will pay now for a three-month supply of
non-formulary medications purchased at a pharmacy, up from $25.

Go to TRICARE's web page on pharmacy costs at
http://www.tricare.mil/pharmacycosts for more information. 

SOURCE: Government Executive article at

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