![]() ![]() There are specific rules for filling prescriptions for certain types of drugs. TRICARE Formulary Search Tool Use the TRICARE Formulary Search Tool to look-up your drug. Is prescribed for an amount more than the normal limitĬheck the TRICARE Formulary to see if you need pre-authorization. ![]() Is a brand-name prescription drug with a generic substitute.Is specified by the DoD Pharmacy & Therapeutics Committee.of any recommended restrictions, including denials of related drug claims. Pre-authorization RequirementsĬertain prescriptions require a pre-authorization. You may need pre-authorization for your prescription if it: non-formulary medications, brand-name medications with generic equivalents. They depend on the medical effectiveness and cost effectiveness of a drug compared to other similar drugs. These categories follow industry standards. Prescription drugs fall into four categories: Your costs will vary depending on your drug category. We review and update the TRICARE Formulary each quarter. After each review, some drugs may move from one category to another. You’ll get a letter from Express Scripts if you have a prescription for a formulary drug that’s changing to a non-formulary drug. Prescription drugs may be covered under the pharmacy benefit or the medical benefit. The TRICARE Formulary is a list of generic and brand-name prescription drugs that we cover. TRICARE covers most prescription drugs approved by the Food and Drug Administration (FDA). If you use the US Family Health Plan, you have a separate pharmacy coverage. Your authorization approval will apply to network pharmacies and home delivery.TRICARE provides prescription drug coverage with most TRICARE health plans.Your medical necessity approval will apply at network pharmacies and home delivery.Give the form to your provider to complete and send back to Express Scripts.Download and print the form for your drug.Search for your drug on the TRICARE Formulary Search Tool.Phoenix, AZ 85072-2150 Medical Necessity Forms Your provider can email, fax or send it in the mail: Attach the completed form to the prescription.Your provider will use this form to request pre-authorization to use a brand name drug instead of a generic alternative. Or, you can activate your account online.īrand Name over Generic Pre-Authorization Request Type the drug name and choose your sex and age from the dropdown menus. Click the Advanced medication search link. Click Search to see information about the drug. Beneath the search box, choose your sex and age from the dropdown menus. A patient care advocate will work with your doctor to transfer your maintenance medications to Home Delivery. Type the drug name and strength in the medication search box. Call 1-87 and have your prescription bottle handy. To refill a prescription, please call 32. Electronic prescriptions sent by your provider must be activated by speaking with a technician at 32 option 2, option 3. You can also complete your registration over the phone. The Satellite Pharmacy can help by processing refills and prescriptions written by non-military providers. Your doctor can fax this form to Express-Scripts at: Mail the New Patient Mail Order Form and your prescriptions to: The TRICARE Formulary Search Tool is an online tool that gives information about your medication.Attach your prescriptions to the order form-clearly write your name, sponsor ID number and date of birth on the back of the prescription.Contact your doctor to write a new prescription for up to a three-month supply with authorized refills for up to one year. I have employer-covered and/or private insurance I have Medicare coverage I have VA coverage I have Tricare coverage I have Medicaid coverage I am a. 1) Online: If you would like your prescriptions delivered to your home, please access the following link: https :// tricare. Use this form to register for TRICARE Pharmacy Home Delivery services. Please note: Deliveries might be delayed into affected areas. If you need additional help, call Express Scripts toll-free at 877.363.1303. Then, call the pharmacy or check if it is open online. ![]() TRICARE Home Delivery Pharmacy Registration Form Formulary status (drug category) The TRICARE pharmacy benefit covers several types of drugs. To get an emergency fill, go to Find a Pharmacy to locate a nearby network pharmacy.
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