To get reimbursed, you must submit a paper claim. It must be postmarked within one year from the date you filled the medication.
You must submit these forms with your claim:
- Explanation of Benefits (EOB) form from your OHI provider
- Prescription receipts
- TRICARE DoD/CHAMPUS Claim Form – Patient’s Request for Medical Payment (DD Form 2462)
To find the claim form:
- Go to TRICARE forms.
- Download the TRICARE Claim Form (DD Form 2462).
- Mail your completed form to the Express Scripts address on the website.