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Allergy Season Is with Us Again
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TRICARE covers most services required in the diagnosis and treatment of allergies. However, certain types of allergy tests and treatments are not covered by TRICARE.
Before scheduling allergy tests or treatments for a TRICARE patient, it is worthwhile to check our “code
look-up” feature located in “ MyHMHS for Providers”. The code look-up tool will find and enter procedure codes for you and ensure you are provided with an explanation about covered services,
non-covered services and whether a referral is necessary.
If you are prescribing allergy medications to TRICARE beneficiaries, your patients may benefit from having the prescription filled through the TRICARE Mail Order Pharmacy program. The TRICARE Mail Order Pharmacy program saves benefi ciaries money by providing a 90-day supply of medication for the cost of a 30-day supply at a retail pharmacy. Benefi ciaries may call the Member Choice Center at 1-877-363-1433 or visit Express Scripts® to have prescriptions delivered right to their front doors. Prescriptions delivered through the TRICARE Mail Order Pharmacy program, versus the retail option, reduces both government and patient costs. For more information, visit Express Scripts®.
For allergy sufferers who require allergy injections, TRICARE allows up to 64 injections the fi rst year and up to 52 injections in the second and any subsequent year. If you need injectable allergy medications, you can use our network Specialty Pharmacies—PrecisionRx® Specialty Solutions or CuraScript™—and have the medications delivered directly to your office.
For more information about TRICARE-covered allergy treatments and services, visit www.humana-military.com.
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