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Tricare For Life Pharmacy Options

Tricare For Life Pharmacy Options

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TRICARE beneficiaries who fill prescriptions for specialty drugs at retail stores must begin picking up those prescriptions at Accredo, which will be the primary in-network pharmacy for specialty drugs starting January 1, 2023.

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Tricare For Life Pharmacy Options

TriCare Home Dispensing Program and Military Medical Facility (MTF) pharmacies will continue to offer certain specialty medications, but Accredo will be the only retail specialty pharmacy option for many specialty medications used to treat chronic and complex illnesses. Cancer, rheumatoid arthritis, multiple sclerosis and hepatitis C. Clinical studies are sometimes required for administration and may require special care, storage, and patient monitoring.

Defense Department Health Plan Cuts Its Pharmacy Network By Nearly 15,000 Outlets

Only 1% to 2% of TRICARE beneficiaries take certain medications. Affected beneficiaries should receive a letter from Express Scripts notifying them of this change. You can also check the Specialty Drug List on the TRICARE website to confirm if your drug is a specialty drug.

To get your prescriptions at Accredo, call 1-877-882-3324 and an Accredo patient care advocate will work with you and your doctor. Accredo provides 24/7 personal care and support, provided by specially trained pharmacists and nurses.

You can also check with your local MTF pharmacy to see if your specific drug is on their formulary. If you get certain medicines for home delivery or at MTF pharmacies, you do not need to make any changes.

Specialty drugs represent a large and growing portion of TRICARE pharmacy spending. TRICARE specialty drug spending increased 43 percent from fiscal year 2018 to fiscal year 2021, from $2.36 billion to $3.369 billion. In fiscal year 2021, specialty drugs accounted for less than 1% of Military Health System (MHS) drug use but accounted for 47% of MHS drug use.

Tricare Formulary Search Tool

Despite the high costs of certain drugs, some represent major advances in medicine. High prices can be offset by future medical expenses.

Currently, TRICARE’s specialty drug retail network is very narrow, including Accredo, Kroger, Rite Aid and Walgreens. Integrating TRICARE’s specialty retail drug supply into Accredo will allow DoD to reduce TRICARE’s increased pharmacy spending by using a national procurement/refill model with a central provider that provides discounted prices for specialty drugs.

TRICARE supports cost-control efforts, but only if beneficiaries continue to receive high-quality care. Are you affected by these changes to the Specialty Drug Network? If so, please share your story with us at legis@.

Ruedisueli is the Director of Government Relations for Health Affairs and co-chair of the Joint Military Health Care Committee (TMC). She worked for the National Military Families Association for six years, advocating for military and police families and focusing on health care and military caregivers.

Defense Department Health Plan Cuts Its Pharmacy Network By Nearly 15,000 Outlets

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  1. Tricare For Life Pharmacy OptionsTriCare Home Dispensing Program and Military Medical Facility (MTF) pharmacies will continue to offer certain specialty medications, but Accredo will be the only retail specialty pharmacy option for many specialty medications used to treat chronic and complex illnesses. Cancer, rheumatoid arthritis, multiple sclerosis and hepatitis C. Clinical studies are sometimes required for administration and may require special care, storage, and patient monitoring.Defense Department Health Plan Cuts Its Pharmacy Network By Nearly 15,000 OutletsOnly 1% to 2% of TRICARE beneficiaries take certain medications. Affected beneficiaries should receive a letter from Express Scripts notifying them of this change. You can also check the Specialty Drug List on the TRICARE website to confirm if your drug is a specialty drug.To get your prescriptions at Accredo, call 1-877-882-3324 and an Accredo patient care advocate will work with you and your doctor. Accredo provides 24/7 personal care and support, provided by specially trained pharmacists and nurses.You can also check with your local MTF pharmacy to see if your specific drug is on their formulary. If you get certain medicines for home delivery or at MTF pharmacies, you do not need to make any changes.Specialty drugs represent a large and growing portion of TRICARE pharmacy spending. TRICARE specialty drug spending increased 43 percent from fiscal year 2018 to fiscal year 2021, from $2.36 billion to $3.369 billion. In fiscal year 2021, specialty drugs accounted for less than 1% of Military Health System (MHS) drug use but accounted for 47% of MHS drug use.Tricare Formulary Search ToolDespite the high costs of certain drugs, some represent major advances in medicine. High prices can be offset by future medical expenses.Currently, TRICARE's specialty drug retail network is very narrow, including Accredo, Kroger, Rite Aid and Walgreens. Integrating TRICARE's specialty retail drug supply into Accredo will allow DoD to reduce TRICARE's increased pharmacy spending by using a national procurement/refill model with a central provider that provides discounted prices for specialty drugs.TRICARE supports cost-control efforts, but only if beneficiaries continue to receive high-quality care. Are you affected by these changes to the Specialty Drug Network? If so, please share your story with us at legis@.Ruedisueli is the Director of Government Relations for Health Affairs and co-chair of the Joint Military Health Care Committee (TMC). She worked for the National Military Families Association for six years, advocating for military and police families and focusing on health care and military caregivers.Defense Department Health Plan Cuts Its Pharmacy Network By Nearly 15,000 Outlets