[TFL] Pharmacy Costs

From: TFL Mailing List
To: <TFL@xxxxxxxxxxxxx>
Date: Tue, 16 Aug 2011 12:20:07 -0500
Pharmacy costs are based on whether the prescription is classified as a
formulary generic (Tier 1), formulary brand name (Tier 2) or non-formulary (Tier
3) drug, and where you choose to have your prescription filled.  Below is an
overview of prescription costs:

Military Treatment Facility (MTF) Pharmacy
o $0 copayment for up to a 90-day supply of most medications.
o Not all medications are available at MTF pharmacies. Call first to check
availability.

 
TRICARE Pharmacy Home Delivery (http://www.express-scripts.com/TRICARE/)
o $3 for generic formulary medications
o $9 for brand-name formulary medications
o $22 for non-formulary medications
o May receive up to a 90-day supply of most medications

 
TRICARE Retail Network Pharmacy
o $3 for generic formulary medications
o $9 for brand-name formulary medications
o $22 for non-formulary medications
o May receive up to a 30-day supply of most medications

NOTE:  Locate the nearest TRICARE Retail Network Pharmacy at
http://www.express-scripts.com/TRICARE/pharmacy/


You'll  pay more to have prescriptions filled at non-network pharmacies and
costs vary depending on who you are and which health plan you are using. Active
duty service members pay nothing out of pocket for prescriptions at any of the
pharmacies listed above. To see your specific pharmacy costs, please enter your
profile now at
http://www.tricare.mil/mybenefit/ChangeProfile.jsp?puri=/home/Prescriptions/Cost
s&uri=/home/Prescriptions/Costs.


Get non-formulary medications at the formulary cost share!
---------------------------------------------------------
Make sure your provider establishes medical necessity. Forms are available to
download from the Pharmacoeconomic Center (PEC) Website at
http://pec.ha.osd.mil/forms_criteria.php.


Enrolled in the US Family Health Plan?
-------------------------------------
Remember, you will fill prescriptions through your US Family Health Plan's
pharmacies, either onsite, network or mail-order, depending on what pharmacy
options are available with your plan.  You will not access military treatment
facility pharmacies or TRICARE's other pharmacy options. To learn about your
prescription drug coverage, enter your profile at
http://www.tricare.mil/mybenefit/ChangeProfile.jsp?puri=/home/Prescriptions/Phar
macyProgram&uri=/home/Prescriptions/PharmacyProgram.


Using a non-network pharmacy?
----------------------------
You should expect to pay for the prescription in full up front and file a claim
for partial reimbursement.  Learn more at
http://tricare.mil/mybenefit/home/Prescriptions/Claims


For more TRICARE pharmacy related information, please visit
http://www.tricare.mil/mybenefit/home/Prescriptions/PharmacyProgram or visit
www.express-scripts.com/TRICARE or contact Express Scripts Customer Service at
1-877-363-1303, E-Mail: DOD.customer.relations@xxxxxxxxxxxxxxxxxxx


To anonymously report suspected fraudulent behavior by pharmacies, prescribers
or members, call 866.216.7096 or TricareEOB@xxxxxxxxxxxxxxxxxxx


------
Source:  TRICARE Web Site at http://www.tricare.mil



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[TFL] Pharmacy Costs

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