TRICARE offers comprehensive prescription drug coverage and several options for filling your prescriptions. To fill a prescription, you need a written prescription and a valid uniformed services identification (ID) card or Common Access Card. The TRICARE Pharmacy Program is administered by Express Scripts, Inc. (Express Scripts). More information on the TRICARE Pharmacy Program is available at
TRICARE's web site or
Express-Scripts' web site.
Military Treatment Facility Pharmacies
An MTF pharmacy is the least expensive option for filling prescriptions. At an MTF pharmacy, you may receive up to a 90-day supply of most medications at no cost. Most MTF pharmacies accept prescriptions written by both civilian and military providers, regardless of whether you are enrolled at the MTF.
Non-formulary medications are generally not available at MTF pharmacies. Contact the nearest MTF pharmacy to check the availability of a particular drug.
Visit
TRICARE's Pharmacy Program for more information on MTF pharmacies.
TRICARE Pharmacy Home Delivery
TRICARE Pharmacy Home Delivery is your least expensive option when not using an MTF pharmacy. There is no cost for home delivery for ADSMs. For all other beneficiaries, there is no cost to receive up to a 90-day supply of generic medications. Copayments apply for brand-name and non-formulary medications. Additionally, prescriptions are delivered to you with free standard shipping, and refills can be easily ordered online, by phone, or by mail. TRICARE Pharmacy Home Delivery also provides you with convenient notifications about your order status, refill reminders, and assistance with renewing expired prescriptions. If you have questions about your prescriptions, pharmacists are available 24 hours a day, seven days a week to speak confidentially with you.
Note: Diabetic supplies (e.g., syringes and needles, blood and urine test strips, lancets) are also available through TRICARE Pharmacy Home Delivery.
You may register for TRICARE Pharmacy Home Delivery using any of the options below.
TRICARE Pharmacy Home Delivery Registration Methods
For faster processing of your home delivery prescription, you can register before placing your first order. Once you are registered, your provider can fax or call in your prescriptions.
Express Scripts will send your medications directly to your home within about 14 days of receiving your prescription. If you have prescription drug coverage through other health insurance (OHI), you can use TRICARE Pharmacy Home Delivery if the medication is not covered by your OHI or if you exceed the OHI’s coverage dollar limit.
Member Choice Center
The Member Choice Center makes it easy to reduce your out-of-pocket costs by transferring your current retail pharmacy maintenance medication prescriptions to TRICARE Pharmacy Home Delivery. If you prefer the convenience of home delivery, contact the Member Choice Center for assistance with converting your current prescriptions.
Visit
Express-Scripts' web site or call
1-877-363-1433 to get started.
Note: To use the Member Choice Center, you must have a maintenance prescription dispensed at a retail pharmacy or MTF. The Member Choice Center will contact your provider to obtain a new written prescription for home delivery.
TRICARE Retail Network Pharmacies
Another option for filling your prescriptions is through a TRICARE retail network pharmacy. You may fill prescriptions (one copayment for each 30-day supply) when you present your written prescription and your uniformed services ID card to the pharmacist.
This option allows you to fill your prescriptions at TRICARE retail network pharmacies across the country without having to submit a claim. You have access to a network of approximately 60,000 retail pharmacies in the United States and certain U.S. territories (American Samoa, Guam, the Northern Mariana Islands, Puerto Rico, and the U.S. Virgin Islands).* Visit
Express-Scripts' web site or call 1-877-363-1303 to find the nearest TRICARE retail network pharmacy.
Note: In the Philippines, you must use a TRICARE-approved host nation pharmacy.
* Currently, there are no TRICARE retail network pharmacies in American Samoa.
Non-Network Pharmacies
If you fill prescriptions at a non-network pharmacy, you will be using the POS option, and will receive a partial reimbursement after you’ve met the POS deductible. Log on to
Express-Scripts' web site or contact Express Scripts at 1-877-363-1303 to locate a TRICARE network pharmacy. For details about filing a claim, see the Claims section of this handbook.
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