TRICARE offers an exceptional pharmacy benefit program to qualified members serving in the United States Army, Navy or Air Force. The benefits also include TRICARE for Life (TFL) which provides beneficiaries the option of receiving Medicare Part A and Part B depending upon their disability, final-stage disease related to renal failure, or age factors.
The TRICARE Pharmacy Program provides free prescriptions which can be obtained from a nearby military treatment facility (MTF). In case it is inconvenient to visit the nearest MTF pharmacy, other options can include utilizing the TRICARE network, using mail-order dispensaries, or using non-network facilities which can meet your pharmaceutical requirements and needs.
Benefits of the TRICARE network:
Individuals can use the pharmacy locator on the TRICARE Pharmacy website expressscripts.com to search for the nearest retail network facility.
When you visit the pharmacy, you are required to provide your military identification card along with the prescription written by the doctor. You may need to present your TRICARE card depending on your current residential location.
If you are in urgent need of a prescription that needs to be filled but you are unable to visit a military treatment facility pharmacy, you can use other pharmacies which are also known as retail network dispensaries and which are approved by TRICARE.
The TRICARE Home Delivery Pharmacy is an excellent money-saving option which can help patients obtain larger supplies of medicines which are taken on a long-term basis. Another method is to utilize the retail network pharmacy for new prescriptions which are provided by your medical care facility. The retail network dispensaries provide the facility with information to order up to a 30-day supply of prescription medicines for a minimal copay.
It is necessary all information of the member’s family is updated in Defense Enrollment Eligibility Reporting System (DEERS) in order to qualify for the benefits of TRICARE benefits at a network retail dispensary.
To order prescriptions via mail, call Stateside: 1-877-363-1303, Overseas: 1-866-275-4732. Registration forms can be found online at: www.expressscripts.com/TRICARE/homedelivery.
Home Delivery through TRICARE
TRICARE Home Delivery Pharmacy is the most efficient way to get all of your regular prescriptions and medicines for various medical conditions. The TRICARE Home Delivery Pharmacy offers benefits for military-related treatments at a reasonable cost which is beneficial to both the member and the government.
The member just needs to mail the doctor’s written prescription along with payment in order to receive a 90-day (maximum) stock of prescribed medicines. Registration with the TRICARE Home Delivery Pharmacy is a prerequisite which can be completed by filling out and mailing in the registration form.
The benefits of TRICARE Home Delivery Pharmacy include free supplies of up to 90 days of prescribed generic medicines or $9 for medicines which are non-generic. The recommended payment method for ordering home delivery prescriptions is via credit card.
Contact Information for Claims
In the case that a prescription claim has been denied, you can make an appeal by calling 877-363-1303.
Note: The cost-share is $0 for TRICARE Prime recipients enrolled in any overseas locations and 25% for non-Prime recipients. The beneficiary must make the full payment and then to file a claim for reimbursement if using an overseas pharmacy.
In order to promote the Home Delivery of TRICARE option, copays for medicines purchased through retail pharmacies have increased. This option also is money-saving for beneficiaries.
The member can register online at Express Scripts or by contacting TRICARE in order to use the TRICARE Pharmacy Home Delivery option.
Information about Defense Enrollment Eligibility Reporting System (DEERS)
Once your registration is complete, you may receive prescribed medicines by first mailing the written prescription from the doctor and payment for the medications.
Ask your doctor if generic drugs can be used instead so you can save additional money on medications.