- Save With Convenient Home Delivery
- Now there’s an easy way to use your TMOP program for the medications you take regularly and enjoy the benefits of Home Delivery. You could save time and money while we do the work.
- Medicare Part D
- Get answers to common questions about Medicare Part D and TRICARE.
- Update: 3 August 2006
- Learn about recent enhancements to the Coordination of Benefits (COB) process.
- Benefit Summary and Copayment/Cost Share Information
- View the details of the TRICARE Retail Pharmacy (TRRx) Program.
- Mandatory Generics Program
- Learn about the TRRx Mandatory Generics program.
- Pharmacy Locator
- Find TRICARE network retail pharmacies near you.
- Drug Coverage Information
View general information about your TRICARE Retail Pharmacy (TRRx) Program.
- Drugs That Have Quantity Limits
Learn which drugs may be limited to a certain quantity/number of medications per month.
- Drugs That Require Prior Authorization
Find out whether a prescription requires Prior Authorization before it can be filled.
- TRICARE Formulary Search Tool
- Find out if your drugs are covered under the DoD TRICARE Retail Pharmacy (TRRx) Program.
- TRICARE Uniform Formulary (New!)
- Learn about recent and upcoming changes to the TRICARE Uniform Formulary, and find alternatives to nonformulary medications. You can then consult your doctor to see if an alternative would work well for you.
- Frequently Asked Questions
Read answers to common questions about the DoD TRICARE Retail Pharmacy (TRRx) Program.
Forms
Note: You must have Adobe® Acrobat® Reader® to print these forms.
- Prior Authorization Form
If you have a prescription that requires prior authorization, print the appropriate form and bring it to your doctor. Your doctor can then submit the form to Express Scripts to see if your plan's conditions for coverage are met. Your doctor can submit the completed form using the information below:
Have your doctor mail to: Express Scripts
ATTN: TRICARE Prior Authorization
P.O. Box 60903
Phoenix, AZ 85082-0903Or have your doctor fax to: 1.866.684.4477 - Claim Form (DD Form 2642)
When you fill a prescription at a non-network pharmacy, you can request reimbursement for a portion of your costs by submitting a claim form (DD Form 2642) and the required drug information, as noted on the claim form.
Mail your claim form and the required drug information to:
Express Scripts
Attn: TRICARE Claims
P.O. Box 66518
St. Louis, MO 63166-6518If you have other health insurance (OHI) with a pharmacy benefit, you may submit a claim for reimbursement of your pharmacy out-of-pocket costs. TRICARE is typically the second payer in these cases. TRICARE becomes the first payer in the following situations:
- The drug is not covered by your OHI, but is covered by TRICARE.
- Coverage under your OHI is used up for the year.
For more information on using a claim form in conjunction with OHI, please call 1.866.DOD.TRRX (1.866.363.8779), or visit the TRICARE website and search for the term "Pharmacy OHI".
Helpful Links
- TRICARE Management Activity Pharmacy Website
Visit the official TRICARE/Military Health System website for more information about TRICARE pharmacy benefits.
- TRICARE Mail Order Pharmacy (TMOP) Program
Save money on prescription medications you take regularly.
- DrugDigest
Gain a better understanding of your medications and health needs.
Managed Care Support Contractors (MCSC)
- North Region
- Visit Health Net Federal Services.
- South Region
- Visit Humana Military Healthcare Services.
- West Region
- Visit TriWest Healthcare Alliance.