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Changes coming to TRICARE pharmacy benefit
FORT HUACHUCA, Ariz. (Sept. 1, 2015) -- A new law going into
effect Oct. 1, requires most TRICARE beneficiaries to get brand name
maintenance drugs from TRICARE Pharmacy Home Delivery or a
If beneficiaries keep using a retail pharmacy for these drugs, they will
have to pay the full cost. Active-duty service members are exempt
from the law's requirement.
Maintenance drugs are those you take regularly for a long time, such
as drugs to control blood pressure or cholesterol. The law doesn't
apply to drugs you take for a short time, like antibiotics, or generic
drugs. The law also doesn't apply to beneficiaries living overseas, or
who have another insurance plan with prescription drug coverage.
"The advantage of using military pharmacies, such as the one at
Raymond W. Bliss Army Health Center [RWBAHC], for TRICARE
beneficiaries is in a significant cost savings for maintenance
medications," said Teresa Nord, the RWBAHC pharmacy chief. "At
RWBAHC, there is no co-pay for up to a 90-day supply."
TRICARE beneficiaries can call 1-520-533-2520 to find out if their
medication is available at RWBAHC.
To sign up for home delivery of certain medications, TRICARE
beneficiaries can visit the Express Scripts website.
Beneficiaries affected by the change will soon get letters from Express
Scripts, Inc., the TRICARE pharmacy contractor. These letters will tell
beneficiaries they are taking an affected drug and explain their options.
Beneficiaries can also call Express Scripts at 1-877-363-1303 to see if
they are affected.
After Oct. 1, Express Scripts will send another letter to beneficiaries, who
continue using a retail pharmacy for affected drugs.
After that, beneficiaries have one more chance to fill these prescriptions
at a retail pharmacy before they have to pay 100 percent of the cost of
TRICARE Pharmacy Home Delivery is a safe, convenient and low-cost
option to get maintenance drugs. Subscribers can get up to a 90-day
supply, as opposed to a 30-day supply from a retail pharmacy, and it
offers a $176 savings per year on co-payments for every brand name
drug switched to home delivery.
For more information about this change to TRICARE's pharmacy benefit,
visit its website.