Your Choice of TRICARE Retail Pharmacies Changes Dec. 1, 2016
Express Scripts added Walgreens and Kroger to the TRICARE® retail specialty select pharmacy network on Dec. 1, 2016. CVS and CVS pharmacies in Target stores are no longer in the network.
IMPORTANT: If you are still filling specialty prescriptions at CVS or CVS pharmacies in Target stores, you need to transfer them now to another TRICARE pharmacy to avoid paying the full retail price for your medication.
What You Need to Know
- If a CVS pharmacy is still filling your specialty prescription drugs, you must move them to a network pharmacy now. Otherwise, you will have to pay the full retail price* for your drugs.
- You can transfer and fill your specialty drugs at Rite-Aid, Walmart, Kroger or Walgreens at any time.
* Please note: Beneficiaries can file a claim for a partial reimbursement of the cost of their medication when filling at a non-network pharmacy. For more information, visit tricare.mil/CoveredServices/Pharmacy/FillPrescriptions/NonNetwork.
Convenient Ways to Transfer Prescriptions to a New Pharmacy
- Take your prescription drug bottles to the new pharmacy. The pharmacist there will contact your old pharmacy.
- Call your new pharmacy and have them get your prescription drug information from your old pharmacy.
- Ask your doctor to send your prescription drug information to your new pharmacy.
- Check to see if your prescription drugs, including any specialty drugs, are eligible for TRICARE Pharmacy Home Delivery by calling 855.778.1417.
Compare Your Specialty Pharmacy Choices
We want to help you transfer your specialty prescriptions to a convenient pharmacy in the TRICARE network. If you fill specialty medications to treat long-term, chronic conditions, such as high blood pressure, a military pharmacy or TRICARE Pharmacy Home Delivery are your lowest cost options.
Call your military pharmacy, where there is no cost to fill your specialty prescription, and ask whether your drug is available at the MTF before you transfer the prescription from a retail network pharmacy. Visit tricare.mil/mtf for contact information.
TRICARE Pharmacy Home Delivery
Next to your military pharmacy, Home Delivery is the best option for transferring eligible specialty medications and may save you money.
Home Delivery gives you many benefits:
- Your formulary generic medications and standard shipping are FREE.
- You receive up to a 90-day supply of your maintenance medications, delivered safely in a weather-resistant pouch.
- You have 24/7 access to nurses and pharmacists from the privacy of your own home.
- You never have to worry about running out of your medications when you sign up for automatic refills and refill reminders.
- If you fill a specialty drug in Home Delivery, you’re automatically enrolled in the Specialty Medication Care Management Program at no cost to you. The program gives you additional care and support to help you manage your chronic condition.
To learn more about Home Delivery, go to TRICARE Pharmacy Home Delivery.
Ways to Transfer Specialty Medications to TRICARE Home Delivery
Transferring your specialty medications is easy; just choose the option that works best for you.
|Call 855.778.1417 to talk with a Patient Care Advocate and arrange delivery of your specialty drug.
Hours are from 7:00 a.m. to midnight (EST) Monday through Friday and 7:00 a.m. to 9:00 p.m. (EST) on weekends and holidays. Standard shipping to your home is free.
Once you enroll, we’ll call your doctors to get new prescriptions for you.
|Mail your prescription to:
PO Box 52150
Phoenix, AZ 85072-9954
Please be sure the prescription includes: Beneficiary name, complete address, phone number, birth date and sponsor ID. We’ll bill you later if you have a copayment.
|Ask your doctor or nurse to fax your new prescription (with a fax cover sheet) directly to 877.895.1900. Note: Express Scripts will only accept faxes from your doctor’s office.|
|The entire process of transferring your prescription to Home Delivery can take two to three weeks.
You must have a 30-day supply of your drugs on hand while we fill your first order.
NOTE: For bleeding disorder medication, you may fill your specialty prescriptions through Accredo, a nationwide mail-order specialty pharmacy. You can also view a list of participating hemophilia specialty pharmacies (PDF file) that can provide your medication. Walgreens will be added to the specialty network for filling bleeding disorder medications as of Dec. 1.
More About Specialty Medications
Specialty medications are usually high-cost, self-administered, injectable or oral medications that treat serious, chronic conditions (for example, cancer, multiple scleroses, rheumatoid arthritis, hepatitis C , among others). These drugs typically require special storage and handling, and are not readily available at your local pharmacy. Specialty medications may also have side effects that require monitoring by a pharmacist or your healthcare provider.
In addition, Express Scripts offers the following services to beneficiaries with certain chronic diseases, like 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
- Optimization of utilization and adherence
Designating a Caregiver
If someone helps you manage your prescription drugs, you should consider designating them as a caregiver for your pharmacy benefit. When you designate a caregiver, this person will be able to order refills, check order status, discuss a new medication and move your prescription to Home Delivery. Begin by logging into your Express Scripts account at www.Express-Scripts.com/TRICARE. Once logged in, navigate to My Account and select Designate a Caregiver.
We’re committed to providing the highest level of service to ease this transition. If you have any questions about your benefit or you need help transferring your prescription drugs, please call 855.778.1417.
You can also check specialty Frequently Asked Questions to find instant answers to questions about the TRICARE retail pharmacy network change.