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TRICARE

Pharmacy Benefit Questions?

Check Out This Handbook

By TRICARE Communications
FALLS CHURCH, Va. – Do you want to learn more section of the handbook to learn more.
about your prescription drug coverage? The TRICARE
Pharmacy Program Handbook can help you get the most 2. What are your options for filling your
out of your pharmacy benefit. It’s a helpful resource to prescription?
learn how your pharmacy benefit works and what it covers. TRICARE provides you with several pharmacy options.
The handbook includes information on these four phar-
“The TRICARE Pharmacy Program Handbook has macy options:
everything you need to know, from explaining your eli- n Military pharmacies
gibility to exploring your pharmacy options,” said Robert n TRICARE Pharmacy Home Delivery
Agnello, deputy chief of Digital Communications at the n TRICARE retail network pharmacies
Defense Health Agency. “Learning how your pharmacy n Non-network pharmacies
benefits work can help you get the
quality care you need.” Which pharmacy option is best for you
to fill your prescription? That depends
Here’s a look at what information you on the type of drug you need and
can find in this pharmacy resource. where you live. Keep in mind, some
TRICARE Pharmacy Program drugs must be filled a certain way. And
®
1. Are you eligible to use JANUARY 2021 the quantity limits and out-of-pocket
TRICARE’s pharmacy HANDBOOK cost of your drug may also vary by the
benefit? type of pharmacy.
The TRICARE Pharmacy Program is
administered by Express Scripts. It’s 3. What types of drugs are
available to eligible service members, covered?
retirees, and family members. As out- TRICARE doesn’t cover certain drugs
lined in the handbook, you must be for a variety of reasons. Prescription
registered in the Defense Enrollment drugs that TRICARE doesn’t cover are
Eligibility Reporting System (DEERS). Learn about the TRICARE pharmacy benefit included in the non-covered drug cat-
And it’s important to keep information egory. As for covered drugs, the hand-
in DEERS up to date for you and your book breaks down three types:
family members. Failure to keep your information accu- n Generic formulary drugs
rate in DEERS could affect your TRICARE eligibility, n Brand-name formulary drugs
including your pharmacy benefit. n Non-formulary drugs

If you have the US Family Health Plan (USFHP), how- TRICARE bases this grouping on the medical cost and
ever, you aren’t eligible for the TRICARE Pharmacy effectiveness of a drug compared to other drugs of the
Program. This means you must use USFHP pharmacy same type. Did you know the TRICARE Formulary
providers. For all other TRICARE health plans, includ- includes a list of prescription drugs that TRICARE
ing TRICARE For Life, you’re eligible to use TRICARE’s covers? TRICARE reviews and updates this list each
pharmacy benefit. Check out the “Getting Started” quarter.

Visit https://tricare.mil/ for more information.

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