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Medication Adherence Pilot Program

Starting February 1, beneficiaries filling select medications will participate in a pilot program that will lower or remove pharmacy copayments at in-network retail pharmacies and through TRICAREĀ® Pharmacy Home Delivery.

The pilot program will examine how lower or no copayments encourage beneficiaries to take their medication as directed and lead to better health outcomes. The program may run up to five years, ending no later than December 31, 2022.

Eligible Medications:

Two medications will be part of the pilot program and will have either a lower, or no copayment at in-network retail pharmacies and TRICARE Pharmacy Home Delivery. Original copayment amounts (not the reduced copayment amount) will be applied to the catastrophic cap and deductible.

Copayment at Retail
(up to a 30-Day Supply)
Copayment at TRICARE Pharmacy Home Delivery
(up to a 90-Day Supply)
Medication Name Therapy Type Original
Lantus® Pens Insulin for Diabetes $28 $11 $24 $7
Rosuvastatin Treatment for High cholesterol (generic for Crestor®) $11 $0 $7 $0

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