What changed with TRICARE mail-order pharmacy?
Quick Answer
TRICARE mail-order pharmacy through Express Scripts now requires auto-refill confirmation before shipping prescriptions. Beneficiaries must confirm each refill to prevent unwanted deliveries. Home delivery still offers 90-day supplies at lower copays.
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Key Takeaways
- Auto-refill prescriptions now require confirmation before shipping
- Home delivery still offers 90-day supplies at lower copays
- Generic medications remain $0 through home delivery
- Keep contact info updated with Express Scripts to receive notifications
Detailed Answer
TRICARE has made changes to its mail-order pharmacy program, managed by Express Scripts, to improve the refill process and reduce medication waste.
Key Changes to Auto-Refill Program
- Beneficiaries must confirm auto-refill orders before they ship
- Express Scripts sends notifications (email, text, or phone) requesting confirmation
- If you do not confirm, the prescription will not be shipped
- This applies to all maintenance medications on auto-refill
Why the Change Was Made
- Reduce unwanted medication deliveries
- Prevent medication waste and unnecessary costs
- Give beneficiaries more control over their prescriptions
- Address complaints about receiving medications no longer needed
How the New Process Works
- Express Scripts notifies you when a refill is due
- You confirm via the Express Scripts app, website, phone, or text
- Once confirmed, the prescription is processed and shipped
- Standard shipping remains free for home delivery orders
Home Delivery Benefits Still Available
- Up to 90-day supply of medications
- Lower copays than retail pharmacies
- Free standard shipping
- Convenient home delivery
Current Home Delivery Copays
- Generic medications: $0 for up to 90-day supply
- Brand-name formulary: Approximately $29 for up to 90-day supply
- Non-formulary: Approximately $60 for up to 90-day supply
- Specialty medications: Varies based on medication
How to Manage Your Prescriptions
- Download the Express Scripts mobile app
- Create an account at express-scripts.com/TRICARE
- Set up notification preferences (email, text, or phone)
- Review and update your medication list regularly
Important Reminders
- Keep your contact information current with Express Scripts
- Respond to refill confirmations promptly to avoid gaps in medication
- Contact Express Scripts if you need to cancel or modify an auto-refill
- Military pharmacy pick-up remains free for all medications
Helpful Tips
- Download the Express Scripts app to easily confirm refills on your phone
- Set up text or email alerts so you never miss a refill confirmation
- Review your auto-refill list periodically and remove medications you no longer take
Related TRICARE Terms
Related Questions
How much does TRICARE cost?
Costs vary by plan and beneficiary status. Active duty members have no costs. Retirees and their families pay enrollment fees and cost-shares.
Does TRICARE cover prescriptions?
Yes, TRICARE covers most prescriptions through military pharmacies, network pharmacies, and home delivery.
How much do prescriptions cost with TRICARE?
Prescription costs vary by location: military pharmacies are free, network pharmacies charge $13-$60 copays, and home delivery offers lower costs for 90-day supplies.
What do most military families add to their TRICARE coverage?
Supplemental health insurance is the most common addition — it covers dental, vision, and out-of-pocket costs that TRICARE leaves uncovered. Life insurance and a legal will are also highly recommended.
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