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Specialty Medication Care Management Program

Some health conditions are treated using specialty medications. These are usually high cost, self-administered, injectable or oral medications that treat serious, chronic conditions like cancer, multiple sclerosis, rheumatoid arthritis and hepatitis C. TRICAREĀ® beneficiaries can have these prescription drugs mailed directly to their homes and receive additional care through TRICARE's free Specialty Medication Care Management Program.

Get support from the specialty management program

The Specialty Medication Care Management Program complements your doctor's care and offers:

  • Access to nurses, pharmacists, and social workers specializing in complex disease states
  • Specialty patient care advocates to answer questions and process medication requests
  • Scheduled medication deliveries to your specific location
  • Refill reminder calls to help you stay adherent
  • Nurses will contact your physician to discuss any side effects and/or changes in condition as reported by you (the patient) during scheduled phone calls
  • Specialty consultations with a nurse or pharmacist at any point during your therapy

Express Scripts also offers the following services to beneficiaries with certain chronic diseases (multiple sclerosis, rheumatoid arthritis, hepatitis C and psoriasis):

  • Nurse outreach with scheduled phone assessments
  • Proactive, structured clinical assessments
  • Comprehensive patient education for disease and drug therapy
  • Help to achieve the best drug utilization and adherence

Each patient is unique and has different needs, so our services are tailored to each individual, making sure you receive the best possible care that you deserve.

Our team of nurses and patient care advocates are here to handle everything about your medications for you. When needed, we can coordinate with your doctor to help you achieve the best possible outcomes from your therapy.

Our clinicians are trained in complex conditions and the medications used to treat them, so we are ready to answer any questions you may have about your condition, your medications, potential interactions and any possible side effects.

Get started

To find out if you're eligible and to get started, call Express Scripts at 888.455.4342. You may also mail your prescription or have your doctor fax it to 877.895.1900. Once your prescription is received, TRICARE Pharmacy Home Delivery will contact you.




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