Express Scripts
Quick Definition
The pharmacy benefit manager administering the TRICARE pharmacy program.
Key Takeaways
- Manages all TRICARE pharmacy benefits including mail-order and retail
- Offers home delivery for maintenance medications at lower copays
- Administers the TRICARE formulary and prior authorizations
Full Definition
Express Scripts is the pharmacy benefit manager (PBM) that administers the TRICARE Pharmacy Program on behalf of the Defense Health Agency. Express Scripts manages prescription drug benefits for all TRICARE beneficiaries, including mail-order pharmacy services, retail pharmacy network, and the formulary.
Express Scripts services include: • TRICARE Pharmacy Home Delivery (mail-order prescriptions) • Retail pharmacy network management • Formulary management and drug coverage decisions • Specialty pharmacy program • Prior authorization processing for medications • Customer service and prescription support
Pharmacy options through Express Scripts: • Military Treatment Facility pharmacies (lowest cost, often $0) • TRICARE Pharmacy Home Delivery (90-day supply, low copays) • Retail network pharmacies (30-day supply, moderate copays) • Non-network retail pharmacies (highest cost, requires claim filing)
How to use Express Scripts: • Register at express-scripts.com/TRICARE • Set up home delivery for maintenance medications • Use the online formulary search tool • Contact customer service at 1-877-363-1303
Express Scripts ensures TRICARE beneficiaries have access to affordable prescription medications through multiple convenient pharmacy channels.
Helpful Tips
- Use home delivery through Express Scripts for 90-day supplies of maintenance medications to save money.
- Check the Express Scripts formulary before your provider prescribes a new medication to verify coverage.
Related Questions
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.
How do I transfer prescriptions to TRICARE pharmacy?
Transfer prescriptions by having your new provider send to TRICARE pharmacy, or call Express Scripts to transfer from civilian pharmacy.
How do I set up an Express Scripts account for TRICARE pharmacy?
Create an Express Scripts account at express-scripts.com/TRICARE using your military ID number to manage prescriptions, set up home delivery, and track orders.
How do Guard and Reserve members get prescriptions?
TRS-enrolled members use TRICARE pharmacy benefits. When activated, use MTF pharmacy or home delivery. Without TRS, civilian pharmacy is needed.
Related Terms
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