Sep
3
10
TRICARE Authorizes Temporary Prescription Refill Waivers for Des Moines County, Iowa, due to Severe Storm
FALLS CHURCH, Virginia – The Defense Health Agency announced that TRICARE beneficiaries in Des Moines County, Iowa, may receive emergency prescription refills now through Sept. 7, 2024, due to a severe storm.
This website has recently undergone changes. As a result, the website is experiencing intermittent interruptions. We're aware of this issue and we're working to resolve these issues. Users finding unexpected concerns may care to clear their browser's cache to ensure a seamless experience.
The Defense Health Agency’s Formulary Management Branch conducts quarterly P&T meetings (February, May, August, November) to assess:
Meeting minutes are publicly posted after:
TRICARE Formulary Tier Status
Applicable to military hospitals and clinics, also known as military treatment facilities, or MTFs.
Not Covered
Drugs determined to be excluded from the TRICARE Formulary as determined by regulatory policy, outside of P&T function
Copay Tier
Applicable to retail network pharmacies and home delivery.
The TRICARE Formulary Search Toolgoes to formulary search tool website includes information for drugs. This includes:
Learn More about the TRICARE Formulary.
Express Scripts is an online pharmacy and the pharmacy benefit manager for TRICARE.
Provider resources are available and they include:
Non-active duty beneficiaries will follow the processes outlined below:
First level appeal
Second level appeal
Requests for changes to the TRICARE outpatient formulary (e.g. formulary status, prior authorization criteria):
A determination will be made by the military hospital’s P&T Committee to address the requested change locally or escalate the request to the DHA’s Formulary Management Branch for further consideration.
The appearance of hyperlinks does not constitute endorsement by the Department of Defense of non-U.S. Government sites or the information, products, or services contained therein. Although the Defense Health Agency may or may not use these sites as additional distribution channels for Department of Defense information, it does not exercise editorial control over all of the information that you may find at these locations. Such links are provided consistent with the stated purpose of this website.