[TFL] TRICARE For Life Pharmacy Pilot
- From: TFL@xxxxxxxxxxxxx
- To: <TFL@xxxxxxxxxxxxx>
- Date: Sun, 29 Dec 2013 12:18:37 -0600
TRICARE For Life Pharmacy Pilot
The TRICARE For Life Pharmacy Pilot will start mid-February 2014. This pilot
will require TRICARE For Life beneficiaries who fill prescriptions for select
<http://www.tricare.mil/tflpilot> maintenance drugs Any prescription you take
regularly is a maintenance drug. Antibiotics or other drugs you take for a
short time aren’t maintenance drugs. at a retail network pharmacy to switch to
either home delivery or a military pharmacy.
· Check this page often or
<https://public.govdelivery.com/accounts/USMHSTMA/subscriber/new> sign up to
get email updates about the pilot.
· You'll get a letter from Express Scripts in mid-February if you have
to participate in the pilot.
· To make sure you get this letter, update your address
<https://www.dmdc.osd.mil/milconnect/> online or call 1-800-538-9552.
You may not be required to participate in the pilot if you:
· are an active duty family member;
· are granted a waiver* due to personal need or hardship, emergency, or
other special circumstance such as living in a nursing home;
· use generic drugs; or
· have other <http://www.tricare.mil/tflpilot> prescription drug
coverageDoesn't include pharmacy discount cards..
*The waiver process will not be in place until the launch of the Pilot. Check
back at this page or sign up for email updates.
What You Can Do Before the Pilot Begins
Switch to Home Delivery
There are several easy ways to switch to home delivery:
·
<http://www.tricare.mil/Pharmacy/FillPrescriptions/HomeDelivery/Switch.aspx>
Switch Online
· Ask your provider to
<http://www.express-scripts.com/TRICARE/eprescribing/> e-Prescribe to “Express
Scripts Mail Pharmacy”
· Ask your provider to fax your prescription to Express Scripts at
1-877-895-1900
· Call the Member Choice Center at 1-877-363-1433
o 7:00 a.m. to 12:00 midnight, Eastern, Monday – Friday
o 7:00 a.m. to 9:00 p.m., Eastern, Weekends and Holidays
· Mail a
<http://www.express-scripts.com/TRICARE/homedelivery/docs/dodMailOrderForm.pdf>
Mail Order Registration Form to Express Scripts (address is on the form)
Your first shipment will usually arrive within 2 weeks. And, refills are
easy―get your prescription refills:
· Online
· By phone
· By mail
· By the Express Scripts Mobile App
· Automatically with Worry-Free Fills®
Use Generic Drugs
· You can fill prescriptions for generic drugs at retail network
pharmacies for only $5.
· Generally, generic drugs won't be among the select maintenance drugs
for the pilot.
Fill Prescriptions at a Military Pharmacy
You can fill your prescriptions at a military pharmacy for free. But, it may
not be the easiest option:
· Military pharmacies don’t stock all drugs on the
<http://www.tricare.mil/tflpilot> TRICARE formularyA list of prescription drugs
that we cover., so your prescription may not be available.
· Each military pharmacy has its own process for transferring
prescriptions.
· Call your <http://www.tricare.mil/mtf> military pharmacy to see if
your prescription can be filled and how to transfer your prescription.
When the Pilot Begins
If you have a prescription for one of the select maintenance drugs covered by
the Pilot, you'll get a letter from Express Scripts about the Pilot with
details about your options.
If you fill your prescription for any of the select maintenance drugs at a
retail network pharmacy after the pilot starts:
· You’ll get a second letter from Express Scripts about switching to
home delivery.
· You’ll get third letter if you refill it a second time.
· If you make a third attempt to fill the prescription at a retail
pharmacy, you'll be responsible for 100% of the cost of the prescription.
Calculate Your Savings When you Switch to Home Delivery
You can save $38 for every brand-name drug:
· At a network pharmacy, brand-name drugs cost $51 (90-day supply).
· The same prescription costs only $13 (90-day supply) from home
delivery.
(Visit http://www.tricare.mil/tflpilot to use online calculator to determine
savings you’ll get by switching to Home Delivery)
-----------
SOURCE: TRICARE bulletin at http://www.tricare.mil/tflpilot
NOTICE: Links to archived copies of this and other mailing list messages,
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