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Capitol Connections Article [Tricare] [3.21.14]
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TriCare Experiments with Mandatory Mail Order

As of March 14th, a TRICARE pilot program now requires certain TRICARE For Life (TFL) beneficiaries to use TRICARE Pharmacy Home Delivery or a military pharmacy to fill prescriptions for select maintenance medications. This pilot was a provision of the 2013 National Defense Authorization Act in an effort to help control rising healthcare costs.

Certain TFL beneficiaries taking an affected medication started receiving letters, Feb. 18th, notifying them of the program. Beneficiaries who did not receive the letter aren't included in the pilot and their current program participation does not change. After the pilot starts, the beneficiaries who were contacted have two additional 30-day refills of their prescriptions covered at a retail pharmacy before they are responsible for 100 percent of the cost. Beneficiaries must call the TRICARE pharmacy contractor, Express Scripts, at 1-877-882-3335 to switch to Home Delivery in order to avoid any unnecessary costs, or with other questions about their medications.

Some individuals are exempt, including people with another prescription drug plan, or people living outside the United States. People living in a nursing home may contact Express Scripts to request a waiver.

According to formal announcements from the program: "TRICARE Pharmacy Home Delivery is safe, convenient and easy to use. Home Delivery offers beneficiaries a 90-day supply of their brand name medication delivered right to their home for $13. Switching these prescriptions from a retail pharmacy to Home Delivery, can save TRICARE beneficiaries up to $152 a year for each prescription. Beneficiaries can also save by asking their doctor to write them a prescription for a generic version of their medication. "

For the most recent information about the TRICARE pilot program or to sign up for e-alerts with the latest updates, please visit the TRICARE site at www.tricare.mil/tfpilot or call 1-877-882-3335.

 



 

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