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Prescription Monitoring Program

The Prescription Monitoring Program (PMP) is designed to identify potential unsafe behavior with regard to controlled medications and prevent or decrease the risk of overutilization by restriction implementation.

Identification & Enrollment

  • Express Scripts identifies PMP candidates for enrollment based on pre-determined criteria, including utilization patterns of controlled substances and/or other high risk medications.
  • Identified beneficiaries are submitted to the respective TRICARE Managed Care Support Contractor (MCSC) or the assigned Military Treatment Facility (MTF) to review prescription history in conjunction with medical history to determine enrollment.
  • Identification can also occur internally by the TRICARE MCSC or MTF.
  • Beneficiaries, at their own request (for example, in the case of identity theft, may enroll themselves. Beneficiaries with restrictions entered at their own request may dis-enroll from the program at any time and remove all restrictions.
Beneficiaries placed in the PMP by their MTF will be assigned an authorized provider and/or pharmacy by a program point of contact at their site. The PMP is used for enrollees in the Sole Provider Program.

Beneficiaries placed in the PMP by their TRICARE MCSC receive a letter from Express Scripts explaining how, and by when, to make their pharmacy, prescriber and hospital selections.

Convenient ways beneficiaries can submit their provider selections:

1. Email: TRICARE111@express.scripts.com
2. Fax: 1.866.579.4662
3. Mail: Express Scripts, Inc.
One Express Way – HQ1-3N03
St. Louis, MO 63121

Beneficiaries in the PMP, who have questions or need to update their provider selections, can send an email to TRICARE111@express-scripts.com. Beneficiaries in the PMP may also call 1.866.333.1348 for more information.

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