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When you take more than one medication at the same time, they can sometimes affect each other. If that occurs, it is called an interaction. Medications can interact in many different ways. For instance, medication interactions can:

• Change how the medication is absorbed by your stomach and intestines
• Increase or decrease the amount of another medication in your body
• Boost the effects of another medication or stop it from working
• Make another medication’s side effect more likely or more dangerous

Some interactions can be minor, but others can be serious or even life-threatening. Here are a few ways you can help decrease your risk for medication interactions:

• Tell your doctor and pharmacist about your health conditions and all the medication you take. This includes prescription and nonprescription, or over-the-counter (OTC) medications, and any supplements or herbal products.

• Read the information that comes with your medication to learn about any drug interactions.
• Tell your doctor and pharmacist about any tobacco, alcohol, or other drug use, because these could affect how your medication works.

Fill out the Health, Allergy & Medication questionnaire to alert us to any known drug interactions you might have.

To reach the questionnaire:

1. Log in.
2. Go to Benefits.
3. Select Print Forms.
4. Scroll to the Health, Allergy & Medication questionnaire section.
5. Select the name and date of birth and click the Get Started button.
6. Fill out the form online and select Submit to send it to us.

TRICARE beneficiaries can make a COVID-19 vaccination appointment at a military hospital, clinic, or vaccination site. The availability of the vaccine may vary by loca-tion. Beneficiaries can also get vaccinated at any TRICARE network pharmacy, at their civilian provider’s office, or at a vaccination site through their local or state health department.

GLP-1 medications are a class of medications that can help manage blood sugar levels in patients with type 2 diabetes and can support weight management.

Here are a few safety tips for taking prescription medications:

Do:

• Learn about your medication and how to take it. Learn about its side effects and how it works with other medication you’re taking. Contact your healthcare provider if you think your medication is causing a side effect.
  • Read the information that comes with your medication. It lists the drug's potential side effects and other safety notices.
• Always tell your doctor and pharmacist if you are allergic to any medications.
• Always carry a list of all prescription and over-the-counter (OTC) medication you take, including supplements, such as vitamins or herbal extracts. Show this list to all your healthcare providers.
• Talk to your doctor and pharmacist before using any OTC, herbal, or homeopathic (alternative) products. Some of these products can cause serious health problems if taken with other medication.
• Dispose of all medication that’s expired or that’s more than 1 year old, according to your local environmental guidelines.
• If you have more questions, you can contact an Express Scripts pharmacist.

Don't:

• Never share your medication with other people. Taking another person's medication can lead to serious health problems.

Federal, state and local governments and public health officials manage the distribution of the COVID-19 vaccines. According to the Centers for Disease Control and Prevention (CDC), COVID-19 vaccines will be made available in three phases. You can contact your local health department for more information on COVID-19 vaccination in your area. Learn more about the TRICARE COVID-19 vaccine program.

Your TRICARE pharmacy benefit covers certain approved GLP-1 medications for diabetes and weight management. Use the TRICARE Formulary Search tool to search for your drug and find any required forms.

Visit Does TRICARE cover Wegovy, Ozempic, and Mounjaro? | TRICARE for additional information.

Note: TRICARE beneficiaries are not impacted by Express Scripts’ GLP-1 new patient policy change. Express Scripts implements the formulary as directed by the Defense Health Agency (DHA). Express Scripts does not design or make any formulary decisions for the TRICARE pharmacy benefit.

After you log in, go to Benefits and select Print Forms.

Or, call us toll-free at 1-877-363-1303. Choose to leave your name and address, and we’ll mail an order form to you.

Yes. At this time, TRICARE beneficiaries can get oral antivirals at any local pharmacy where they are available, even if the pharmacy is not a part of the TRICARE pharmacy network.

• TRICARE Home Delivery. TRICARE Home Delivery will accept new and existing approved weight management prescriptions based on plan coverage.
• Network retail pharmacies. Visit esrx.com/findapharmacy to find a network retail pharmacy near you.
• Military Treatment Facility (MTF). Find a military hospital or clinic that offers weight management medications. Call ahead to make sure the drug is available.

To find information about a specific order:

1. Log in and go to Prescriptions and select Order History.

2, Scroll down to the Search for order box at the bottom of the Recent Order Status screen.

3. Enter any of these details to search for your medication:

• Prescription number (the Rx number found on your medication label)
• Order confirmation number
• Invoice number

Because medication prices change daily, we may not be able to show payment details until after we’ve processed and shipped your order. We charge you the price of your medication on the day we ship your order.

It is likely several vaccine candidates with be submitted for approval utilizing the FDA’s Emergency Use Authorization (EUA) application. This pathway was originally created after 9/11 to make sure that lifesaving therapies could be available earlier for vulnerable patients.

You can make a payment online, through the mail, or by phone. We accept the following forms of payment:

• Checking account
• Credit card
• PayPal
• Masterpass

To pay online:

1. Log in and go to Account.
2. If a payment is due, you will see Pay a Bill. If not, select Payment Methods to add or change your payment method.
3. If your plan offers an Extended Payment Program (EPP), you can add it to your payment method.

To pay by mail:

Send your payment to this address:

Express Scripts PO Box 52150, Phoenix, AZ 85072-2150

The TRICARE Formulary is a list of brand-name and generic drugs available through the TRICARE pharmacy benefit. Some drugs are covered but not preferred, and are categorized as Non-Formulary. These drugs have a higher copayment and generally are only available via home delivery.

You can use the TRICARE Formulary Search Tool to search for specific drugs and to see whether they are available through the TRICARE pharmacy benefit and if they are, what you will pay. The TRICARE Formulary Search Tool will also advise as to any quantity or day supply limitations associated with the drug in question.

COVID-19 vaccines are covered through the TRICARE pharmacy benefit. There is no cost to TRICARE beneficiaries getting a COVID-19 vaccine.

COVID-19 booster shots are also covered through the TRICARE pharmacy benefit. The CDC recommends everyone age six months and older stay up to date with COVID-19 vaccines.

There are three main platforms that vaccine manufacturers are using to develop COVID-19 vaccines. A central theme is that all vaccine candidates are focusing on developing immunity to the “S protein,” a component of the COVID-19 virus that is critical to allow itself to attach to receptors within our body and infect our cells. By developing vaccines that promote an immune response in our body against this specific protein, the available clinical trial data has shown encouraging results in preventing significant disease and/or transmission. Another difference between the candidates is differing storage requirements which could vary from simple refrigeration to deep freezing.

Two-step verification keeps your account safe by adding more security. When you log in to your account, you’ll need your username, password, and a single-use code that we’ll send to your registered email or mobile phone number.

Understanding your TRICARE pharmacy benefit is important. To make the most of your TRICARE benefit, it is essential to understand some key pharmacy terms.

Yes. When a brand-name drug has a generic version, you can get it in the same quantity and dosage that your plan’s rules allow.

Immunizations, more commonly referred to as vaccines, help protect you, your family and friends, and the community from contracting and spreading vaccine-preventable diseases like seasonal flu, whooping cough, measles, shingles, pneumonia, and COVID-19. According to the Centers for Disease Control and Prevention (CDC), vaccinations not only protect us from seasonal illnesses like the flu, but they protect us in the future. Vaccinations are one of the best ways to put an end to serious side effects from certain diseases. Additionally, COVID-19 vaccines are one of many important tools to help us take control of this pandemic.

Find out more about the importance of vaccines at www.cdc.gov/vaccines/vac-gen/vaxwithme.html.

To order a refill, log in to your account and go to Refill Prescriptions under Prescriptions in the main menu. Choose your available medication and place your order.

You can also order refills through the Express Scripts® mobile app.

Our refill policies allow you to refill your medication when 25% of your current prescription is remaining. This helps to make sure your new supply is delivered before you run out of medication.

You’ll have to pay the applicable TRICARE cost-share for any FDA-approved at-home COVID-19 test. To be covered, it must be ordered by a TRICARE-authorized provider for a medically necessary purpose, such as exhibition of symptoms. The federal government is no longer offering free at-home tests as of May 11, 2023.

To learn more, visit www.covidtests.gov.

If your medication is not on the Uniformed Services Formulary, you will be charged the non-formulary price unless your doctor’s medical necessity waiver is approved. Download the form for your medication and your doctor can complete and submit it to us.

All three vaccines authorized for emergency use by the Food and Drug Administration (FDA) have been thoroughly tested and found to be safe and effective in preventing COVID-19. They continue to undergo intense safety monitoring. Learn more about COVID-19 vaccine safety.

A copayment (copay) or coinsurance is the portion of the total medication cost that you pay. Your prescription plan pays the rest of the cost. Here’s how these can affect the cost of your medication:

• To be eligible for a copay or coinsurance instead of paying the full cost for some medications, some plans require that you buy a certain amount of medication or that you buy it from a certain pharmacy network.
• Depending on your plan’s deductible, you might pay the full cost to fill a prescription.
• Deductibles, copays, and coinsurance vary by plan. To learn about your plan’s details, go to Benefits Overview.

You can learn more about terms like deductible, copay, and coinsurance in Common Terms.

Yes. At this time, TRICARE beneficiaries can get vaccinated at any local pharmacy offering the vaccine, even if the pharmacy is not a part of the TRICARE pharmacy network.

If you have already received your first dose of the COVID-19 vaccine, you can register for the Center of Disease Control (CDC) v-safe^SM After Vaccination Health Checker. Using your smartphone, you can easily report side effects and even get reminders if you need a second vaccine dose. Remember, getting the vaccine doesn’t replace taking the necessary precautions such as wearing a mask, hand washing, and social distancing. For a full list of COVID-19 safety requirements, visit the CDC's vaccine information page.

TRICARE beneficiaries can get the COVID-19 vaccine at any retail pharmacy that is offering the vaccine, even if the pharmacy is not a part of the TRICARE pharmacy network. This only applies to the COVID-19 vaccine. Other vaccines are not covered at out-of-network pharmacies.

Make sure to bring your military ID, which includes your health insurance information when you get the COVID-19 vaccine.

This term is used for medications that are restricted by law because they carry a high risk for causing harm. The Controlled Substances Act defines which medications are Controlled Substances, including opioids and certain stimulants. You can find out more about this term at the National Cancer Institute website.

There are a few reasons why there might be limits for refills of these medications:

• There are federal laws that do not allow refills.
• Your state might limit the amount of medication doctors can prescribe. These limits are based either on diagnosis or by the number of days of medication needed.
• Your benefit plan might have certain refill limits for these medications.
• You might need to ask your doctor for a new prescription or for a refill. Check with your doctor. You might have to visit for a check-up before the doctor can prescribe more medication.

At this time, the answer is unclear. Viruses tend to mutate over time, and we do not yet completely understand how long vaccinations may provide protection from COVID-19 infection. This is a matter that will continue to be studied by the medical and scientific community.

The Express Scripts mobile app offers a free and easy way to access and manage your prescriptions from your mobile device. To download it, search for Express Scripts in your app store.

If we ship your order in more than one package, we’ll tell you why on each invoice. Here are two reasons your order might come in more than one package:

• Your order might be coming from separate pharmacies. If one medication requires special handling (for example, temperature control), we might ship it from a different pharmacy. And, not all of our pharmacies dispense controlled substances or compound medications.
• If your order includes a prescription that has not yet reached its refill date, we’ll send the rest of your order without it. We’ll ship that prescription when it’s eligible for refill.

COVID-19 tests are not covered under your TRICARE pharmacy benefit. However, TRICARE does cover COVID-19 tests at no cost through your medical insurance plan, when ordered by a TRICARE-authorized provider. The test must be FDA-approved (including emergency use authorization).

Full coverage details are available at www.tricare.mil/coronavirus.

1. Go to Prescriptions and select Find a Pharmacy.
2. Enter a ZIP code or city and state. Be sure to include a comma between the city name and the state abbreviation.

You can use the Express Scripts app on your mobile device for turn-by-turn directions to the pharmacy you choose.

To get your maintenance medication delivered, you’ll need to:

1. Log in and go to the Prescriptions menu and select Pharmacy Options. You’ll see any maintenance medications you can get delivered.
2. Compare the prices shown and choose the medication you want delivered.
3. Follow the instructions to check out.

If you don't see your medication listed on the Pharmacy Options screen:

1. Log in and go to the Prescriptions menu and select Refill Prescriptions.
2. Select the link Find a prescription not listed below. Then you can:
   • Browse your prescription history to find the name of your medication.
   • Search for your medication by its prescription number (also called its Rx number)

Setup is simple. You’ll need to use the email registered to your account. We’ll send a code to confirm you have access to your registered email.

Follow these steps:

1. Enter your username and password (or log in with your single sign-on connection or biometrics).
2. We’ll send a single-use code to your registered email.
3. Enter the code and access your account.

Once you've accessed your account, you can choose to add text messages as an option for two-step verification. Go to Two-Step Verification under Account to set this up.

Do:

• Ask the pharmacist how to dispose of it.
• Check for a local drug disposal program at your local police or fire departments, or at DisposeMyMeds.org. Also look for Prescription Drug Take Back Days from the Drug Enforcement Administration.

Do Not

• Keep any extra medication for later use.
• Wash it down the sink or toilet. This can make water supplies unsafe.
• Throw the medication away in the garbage.

This is any serious reaction that happens during or after treatment with a medication. An adverse event can be moderate to severe (such as a heart attack or an allergic reaction to the medication). It can be harmful if it’s not managed right away, and might involve stopping treatment with the medication. The medication label and/or the paper inserts that come with the medication list adverse events. Always talk to your doctor or pharmacist if you are concerned you’re having an adverse event caused by your medication.

Log in to your account, and go to Refill Prescriptions under Prescriptions. If you don’t see the prescription you’re looking for, you can search for it by going to Find a prescription not listed below.

Most deliveries arrive within a couple of days, however some may take three to four days to ship. Log in to find out when we shipped your order. Then, go to Prescriptions and select Order History. Check Recent Order Status to track your order.

If it’s been more than five days since your order shipped and you haven’t received your medication, please contact us.

Yes. When you fill a prescription at an in-network retail pharmacy, tell the pharmacist if you have TRICARE coverage in addition to your OHI. Your pharmacist will submit your prescription to both insurance plans at the same time. Letting your pharmacist know you have two prescription plans means:

• Minimal out-of-pocket expenses for you
• Never paying more than the TRICARE copayment
• No need to submit paper claims
• Reduced or eliminated up-front costs

To get reimbursed by TRICARE:

1. Keep the receipt for your medication. You will need to file a claim with TRICARE for reimbursement within one year from the date your prescription was filled.
2. Fill out the Patient's Request for Medical Payment (DD 2642) form.
3. Submit this form along with your OHI explanation of benefits and your receipt to:

Express Scripts Inc.

P.O. Box 52132

Phoenix, AZ 85082

The Prescription Monitoring Program (PMP) helps prevent or decrease the risk of possible overuse of harmful medications.

Beneficiaries who are placed on the PMP by their TRICARE Managed Care Support Contractor are required to obtain controlled medication from one provider. Upon enrollment, a letter will be sent requesting the selected provider. Beneficiaries may request changes to their authorized provider by sending a request to Express Scripts.

Beneficiaries placed in the PMP by their Military Treatment Facility will be assigned an authorized provider and/or pharmacy by a program point of contact at the facility. Contact your provider or primary care manager for assistance. Contact us for additional help.

Email: TRICARE111@express-scripts.com

Mail: Express Scripts

Prescription Monitoring Department

1 Express Way

St. Louis, MO 63121

Two-step verification is required to log into express-scripts.com, militaryrx.com, and the Express Scripts^® mobile app. It adds an extra layer of security to protect personal and health-related data from unauthorized access. We added this feature to keep your account safe.

No. Not all brand-name drugs have generic versions, and there may be situations where your doctor wants you to take the brand-name version only. When writing your prescription, your doctor will indicate if a generic version is OK.

If you need a new prescription, ask your doctor to send it to us:

• By e-prescribe: Ask your doctor to send us your prescription electronically.
• By phone: Call Express Scripts toll-free at (877)882-3335
• By fax: Send the order form and your written prescription
  • Toll-free within the U.S. at (877)895-1900
  • Outside the U.S. at: (602)586-3911 (U.S.-licensed prescribers only)

If you already have a written prescription, log in to your account. Then go to Benefits and select Print Forms. Select the link Print a mail order form to find the Home Delivery Order Form. You can ask your doctor to submit this form to us, or you can print and complete the form, then mail the form and your prescription to the address listed on the form. Make sure your prescription is written for up to a 90-day supply and it shows that you want delivery.

Use the Formulary Search Tool to find out about the medication you need:

1. Go to the Benefits menu and select Covered Medications.
2. Follow the instructions in the Formulary Search Tool to look up a medication.

The results will give you details about the medications covered, strength, form, whether there’s a generic option, and whether there are any restrictions or extra requirements.

Sometimes there might be a difference between a price quoted online for a prescription you can pick up from a local pharmacy in your network and what you actually pay at that pharmacy. Here are a few reasons why this might happen:

• Sales tax: The state in which your local network pharmacy is located might charge sales tax in addition to the prescription price. Our website pricing does not include any sales tax that your state could apply.
• Your plan: Your plan might include some local network pharmacies that apply further discounts to the retail prices listed on our site.
• Price changes from drug makers: The company that makes your medication might have changed the price of the medication at some point after you looked it up on our site.

If you don’t have any remaining refills for a prescription, contact your doctor. Your doctor might order some tests or ask to see you before renewing your prescription. Some states have rules that require you to visit your doctor or pharmacist before getting refills.

To find out if you have refills left on your prescription check the prescription label for refills remaining. You can also log in, go to Prescriptions and select Order History to see if you have more refills. And the Express Scripts mobile app shows refills remaining.

Do

• Ask the pharmacist how to dispose of it.
• Check for a local drug disposal program at your local police or fire departments, or at DisposeMyMeds.org. Also look for Prescription Drug Take Back Days sponsored by the Drug Enforcement Administration.

Do Not

• Keep any extra medication for later use.

• Wash it down the sink or toilet. This can make water supplies unsafe.
• Throw the medication away in the garbage.

We ship your medication in a tamper-proof, weather-resistant package. If your medication is sensitive to extreme hot or cold weather, we ship it in a temperature-controlled package.

Standard shipping is part of your plan's benefit at no extra cost to you. You can get next-day or two-day shipping for an extra fee.

We ship most medication through the U.S. Postal Service. We use United Parcel Service (UPS) to ship certain controlled substances.

We ship to:

• All 50 states
• PO boxes
• APO/FPO/DPO addresses*
• U.S. territories

*We can’t ship refrigerated medications to APO/FPO/DPO addresses

We do not ship orders to private foreign addresses.

You can choose how to get your maintenance medications. Most plans allow you to choose to get your medications from a Military Treatment Facility, a retail network pharmacy, or through TRICARE Home Delivery Pharmacy Program. But, some plans require you to use delivery for certain medications. We’ll alert you if your medication has restrictions on your pharmacy location.

Express Scripts Pharmacy® offers delivery of up to a 90-day supply of your medication to any location. You can track your order online or through the Express Scripts mobile app. We also offer an optional 3-month payment plan. And, you have access to an Express Scripts pharmacist at any time, 24/7.

We deliver certain maintenance medications. To see if you can choose delivery for your medication, log in to your account and go to Prescriptions, then select Pharmacy Options. You’ll see any prescription medications you can have delivered, along with price comparisons for local network pharmacies and home delivery.

A limited distribution drug is created when a pharmaceutical manufacturer decides to limit the number of specialty pharmacies that have access to a particular specialty medication.

Accredo is a leader in limited distribution drug access but does not have access to all limited distribution drugs, so you must use another pharmacy to access the drug. You can check to see if you are taking a LDD by visiting the Formulary Search Tool.

No. After your cap is met, no copayments will be charged for your medications until the following fiscal year (beginning January 1).

A side effect is a new symptom that occurs when you take a medication, either because of the medication or because of the way you take it (such as by injection, IV, by mouth, or by patch). The label on your medication and the paper insert that comes with the medication will list common side effects.

Common side effects for many medications include feeling sleepy, gaining weight, coughing, or having stomach or bowel problems. Most side effects often are not serious, but you should always talk to your doctor or pharmacist if you have questions or concerns about your medication’s side effects.

Yes, every person who has pharmacy benefits through TRICARE, including every child, must have a separate account with a unique username and password.

Create an account for each member and make sure you record their unique username and password in a safe place. Adults can set up accounts for minors who do not manage their own medications, but minors will still need their own username and password.

You can view the status of your order on Recent Order Status. Please note: It might take a few hours for a new order to appear.

1. Log in and go to Prescriptions, then select Order History.

2. The Recent Order Status screen shows you:

• When you placed your order
• When we shipped your order
• How much you paid
• How much your plan paid

To find an order that’s older than 120 days:

1. Go to the Prescriptions menu and select Order History.
2. Scroll to the bottom of Recent Order Status.
3. Enter the details about your medication in the Search for order box.

You may also receive communications regarding your order status, such as when your order is processing, shipped, and delivered.

In general, no. You can use TRICARE home delivery only if:

• Your other health insurance (OHI) does not include pharmacy benefits
• The medication you need is not covered by your OHI
• You have met your catastrophic cap.

If you meet one of these three conditions, here’s how to submit your prescription to for home delivery:

1. Ask your doctor or provider to write a prescription for up to a 90-day supply of medication.
2. Include a copy of an explanation of benefits (EOB) showing your OHI did not pay for the medication.
3. Send this information, along with your prescription, to:

Express Scripts

P.O. Box 52150

Phoenix, AZ 85072-9954

Express Scripts often pauses shipments into areas where natural disasters make delivery difficult or impossible. But, you can still get your medication delivered to where you are.

• Check your order status. If you can, update your order’s shipping address to your temporary location.
• If you can’t update your shipping address or don’t know where you’ll be, go to the Express Scripts website and look for a message about managing your medication during the disaster.
• If you can’t make the changes or get the help you need through our app or on this website, call (877)363-1303.

Prepare for a natural disaster:

• Update your email address and your mobile phone number. If we need to contact you with urgent information about your medication, we’ll try to reach you by phone.
• Refill any medications in low supply, if your plan allows it.
• Make a list of all the medications you take and keep the list with you.
• Download the Express Scripts® mobile app for alerts about the natural disaster. If you have to leave your local area, you can use our website or mobile app to print your medication history or to find a nearby pharmacy.

Log in and use the find a pharmacy tool to find a new local, in-network retail pharmacy in your area. There are two easy ways to move your prescription:

1. Call your doctor’s office. Ask them to send your prescription electronically to your new in-network retail pharmacy.
2. If your prescription still has a refill available, call your new in-network retail pharmacy and ask them to transfer your prescription.

Order status is available once your prescription has been received. It may take a few hours for a new order to appear.

You can view the status of your order online. Log in to your account then, go to Prescriptions and select Order History. Check Recent Order Status to track your order.

1. Log in and go to Prescriptions, then select Order History.

2. The Recent Order Status screen shows you:

• When you placed your order
• When we shipped your order
• How much you paid
• How much your plan paid
• When your next automatic refill (auto refill) is processed. If you’ve turned on auto refills, you’ll see the dates when all your future orders will begin processing.

To find an order that’s older than 120 days:

1. Go to the Prescriptions menu and select Order History.
2. Scroll to the bottom of Recent Order Status.

Enter the details about your medication in the Search for order box.

Accredo® is an accredited specialty pharmacy serving patients with complex and chronic health conditions. Accredo provides specialty pharmacy services, such as scheduled medication delivery and refill reminder calls. You will be able to get advice from staff trained in your condition throughout your medication therapy. Accredo specialty pharmacy services are available to you at no additional cost beyond your TRICARE cost-share.

Accredo operates as a home delivery pharmacy and supports beneficiaries filling eligible specialty drugs at TRICARE Home Delivery. Accredo also operates as an in-network retail pharmacy and can support beneficiaries filling certain specialty drugs that are not available at TRICARE Home Delivery or a military pharmacy. This means your cost-share may sometimes be different when you fill at Accredo because, depending on the drug, you could be filling your prescriptions at two different points of service – TRICARE Home Delivery and an in-network retail pharmacy.

To see where you can fill your specialty drug and the associated cost-share, visit the TRICARE Formulary Search Tool.

Your drug may still be available at participating in-network retail pharmacies or at a military pharmacy. To see where you can fill your specialty drug and the associated cost-share, visit the TRICARE Formulary Search Tool.

TRICARE, through the Department of Defense Pharmacy & Therapeutics Committee process, defines what is considered a “specialty medication” and maintains the specialty drug list.

Express Scripts Pharmacy is a home delivery pharmacy that provides pharmacy services when you fill eligible medications at TRICARE Home Delivery. You can get up to a 90-day supply of your medication delivered to your door when you fill at Express Scripts Pharmacy. To see where you can fill your specialty drug and the associated cost-share, visit the TRICARE Formulary Search Tool.

TRICARE covers specialty medications through TRICARE Home Delivery, in-network retail pharmacies, and military pharmacies (if available). To see where you can fill your specialty drug and the associated cost-share, visit the TRICARE Formulary Search Tool.

Express Scripts, Accredo and Express Scripts Pharmacy are distinct entities that operate independently as part of Evernorth Health Services.

• Express Scripts® is the pharmacy contractor that manages your TRICARE pharmacy benefit. As part of your pharmacy benefit, Express Scripts contracts with Accredo and Express Scripts Pharmacy to provide pharmacy related care and services.
• Accredo® provides specialty pharmacy services when you fill TRICARE-defined specialty medications. With Accredo, you have access to personalized care and support from pharmacists and nurses trained in your condition. These specialty pharmacy services are available to you at no additional cost beyond your TRICARE cost-share.
• Express Scripts® Pharmacy provides pharmacy services when you fill eligible medications at TRICARE Home Delivery.

To see where you can fill your specialty drug and the associated cost-share, visit the TRICARE Formulary Search Tool.

Your TRICARE pharmacy benefit covers age-appropriate doses of vaccines as recommended by the Centers for Disease Control and Prevention (CDC). TRICARE regularly adds coverage for new vaccines based on CDC recommendations.

• In-network retail pharmacies. Visit esrx.com/findapharmacy to find an in-network retail pharmacy near you. Your TRICARE pharmacy benefit covers vaccines at no cost when given by a pharmacist. If another type of provider gives you a vaccine at a participating pharmacy, you may have to pay out-of-pocket costs.
• Medical Military Treatment Facility (MTF). Find a military hospital or clinic that offers vaccinations. Call ahead to make sure the vaccine is available.
• Civilian and TRICARE-authorized providers. Contact your provider or see a TRICARE-authorized provider at a participating network clinic. You may have to pay copayments or cost-shares if you get other services during the office visit.

After setup, you can change the email address that we send the code to at any time. Log in and go to Two-Step Verification under Account to change your email address. If you can’t access your registered email for the initial setup, please call us at (800) 711-5672. We can change your email address if you no longer have access.

Generic drugs often are a lower-cost option to brand-name drugs. A generic drug has the same active ingredient as its brand-name version, but might contain different fillers or coatings.

Important things to know about generic drugs:

• Generic equivalent drugs always come in the same form (for example, a tablet or capsule) and dose as their brand-name version. You don’t have to take more of a generic drug to get the same results as its brand-name version.

The Food and Drug Administration (FDA) makes sure all FDA-approved generic drugs are as safe and effective as the brand-name medication.

Yes. If your plan covers delivery, you can get certain maintenance medications through the TRICARE® Home Delivery Pharmacy Program. To set up delivery:

1. Go to the Prescription menu and choose Pharmacy Options.
2. Find the name of the medication you want to switch to delivery.
3. Select the checkbox for a 3-month supply. If your plan offers an Extended Payment Program (EPP) to spread out your payments, you can choose this option.
4. Select Continue and complete your order. We'll ask your doctor to update your prescription for you.

To view your coverage information, log in:

1. Go to Prescriptions and select Price a Medication.
2. Enter the name of the medication you want to price and click Search.
3. Select the medication you’re looking for and enter your dosage amount. Price a Medication will show you if your medication is covered by your plan and how much it costs.

To review how much you spend on prescriptions every year, first log in and then:

1. Go to Prescriptions, then select Claims & Balances.
2. Choose Prescription claims & history.
3. Select the Change date range link to change the date range for the claims you want to view.

You can use this information for your tax records.

To view details about mail order payments, choose Mail order payments. You’ll see details for items you’ve purchased in the last 24 months, such as date of purchase and amount charged.

To view details about claims reimbursements, choose Claims reimbursement. Then, choose the Change date range link to select the claims you want to view.

Accredo is the primary in-network pharmacy option for TRICARE beneficiaries filling specialty medications. With Accredo, you will have 24/7 access to personalized care and support from specialty-trained pharmacists and nurses. To move your prescriptions to Accredo, call 1.877.882.3324 and an Accredo patient care advocate will work with you and your doctor. Visit accredo.com/dodspecialty for more information.

You may also choose to fill your specialty medications at home delivery through Express Scripts® Pharmacy, military pharmacies and in-network retail pharmacies. Be sure to contact your pharmacy of choice to ensure they carry your medication. Visit the TRICARE formulary search tool to see where your specialty medications are covered.

Two-step verification via text message is now available. At this time, you are still required to use your registered email to set up two-step verification the first time. After this initial setup, you can choose to add text messages as a two-step verification method, and then you’ll be able to choose which contact method you want to use during each login.

You can view up to 18 months of orders you’ve purchased either through delivery or at a local network pharmacy.

1. Log in and go to Prescriptions and select Order History. On the Recent Order Status page you can search for orders placed in the last 120 days.
2. Find the name of your medication.
3. Select View details under the Rx number.

Herbal products are made from plants. The FDA (US Food and Drug Administration) does not inspect or assess these products before they come to market, but they can track claims about the product’s safety or usefulness after it’s on the market. The FDA can take action against a product maker, if the product puts people at risk for illness or injury. Some herbal products can be potent. They can cause side effects or can interact with prescription or OTC drugs. Always tell your doctor or pharmacist if you’re taking herbal products, and keep a list of those products with your list of medications.

Express Scripts will ask you to approve each refill before we ship it. This will help make sure you only get the refills you need.

How to approve your refill for your medication:

1. Express Scripts will let you know when you have an auto refill coming up. We will contact you through your preferred communication method: phone, email, or text.
2. You’ll log in to your account online or through the Express Scripts mobile app^® to confirm if you want your next refill. You can also choose to opt out of receiving your next refill. If you choose to opt out of receiving your next refill, your medication will no longer be in the auto refill program. You can opt back into the program at any time. Reminders for your refill will continue until your prescription expires.
3. When your medication is ready, Express Scripts will send it to you. Use the free Express Scripts mobile app^® to track your order while it’s processed and shipped.

How to Provide Consent for Automatic Refills as a TRICARE Beneficiary Video

A network pharmacy is a pharmacy that accepts TRICARE copayment. TRICARE will pay for part or all of your medication’s cost from a network pharmacy. Military Treatment Facilities and Express Scripts Pharmacy® are network pharmacies. But, not all retail pharmacies are network pharmacies.

Beneficiaries can file a claim for a partial reimbursement of the cost of their medication when filling at a non-network pharmacy. Learn more.

Yes. Your Express Scripts pharmacist is available 24 hours a day and can answer questions about your medication.

We also have licensed pharmacists with specialized knowledge about certain conditions. You can talk with a specialized pharmacist about:

• Asthma
• Arthritis
• Cancer
• Depression
• Diabetes
• Heart disease
• High blood pressure
• High cholesterol
• Migraine headaches
• Women's health conditions

To submit a pharmacy claim online, log in to your account and navigate to the ‘Benefits’ menu option and select ‘Forms’.

Be sure to have your prescriber information handy, a photocopy of your pharmacy receipt and the phone number for the pharmacy you filled your prescription.

Try to stay on track with your medicine for as long as your doctor tells you — even if you begin feeling better. Stopping your medicine too early can lead to health problems, so it’s helpful to talk to your doctor, first.

Tips for talking to your doctor

It’s always helpful to ask questions when you talk with your health providers. But it’s also easy to forget what to ask! Here are 3 key questions to ask at doctor visits that can help you get the most from your visit.

1. What is the main problem?
2. What do I need to do?
3. Why is it important for me to do this?

If you need to manage medications for someone who is a TRICARE member not covered by your plan, then that person must create an account and give you access to their account by making you their Caregiver.
To add a Caregiver, the TRICARE member can:

1. Log in and go to Account, then select Add a Caregiver.
2. Click the Add a Caregiver button.
3. Fill in the required details.
4. Read the terms and conditions, then check the box to submit an electronic signature.
5. Click the Continue button.

Before we can fill any new prescription, we must first check that:

• The medication is covered by your plan.
• There are no serious interactions or side effects from taking this medication that could have a negative impact on your health.

These checks may take a few days. If we expect a longer delay, we’ll send a message to let you know.

In rare cases, we aren’t able to fill your order. If this happens, we’ll return your original, unfilled prescription to you as soon as possible and explain why we couldn’t complete your order.

By law, your other health insurance (OHI) must be the primary payer for your prescriptions and TRICARE is the secondary payer. TRICARE becomes the primary payer only when:

• A drug is not covered by your OHI, but is covered by TRICARE

OR

• Your OHI coverage is exhausted for the benefit year

If a state of emergency has been declared where you live, we will help you get the medication you need.

If you need an emergency medication, we work with your health plan, employer, or plan sponsor to get it to you quickly. We might allow a refill before your next refill date, replace a lost or damaged medication, or give you access to another pharmacy network where you can temporarily use your benefits.

Download our mobile app for easy access to help information at the time of the emergency. You can also use our website or mobile app to find a nearby network pharmacy.

For medications you take on a regular basis, home delivery is a convenient option. Here are three simple ways you can move your eligible prescriptions:

1. Log in or register to find and move eligible prescriptions. You can also use the Express Scripts Mobile App^®. Once you have requested a transfer, we will contact your doctor to send up to a 90-day supply of your medication to Express Scripts.
2. Call your doctor’s office. Ask them to send your prescription electronically to Express Scripts for up to a 90-day supply of your medication.
3. Call 877.363.1303. We will help take care of everything for you.

Entering a new code each time during login helps us to make sure someone is not trying to access your account without your consent.

If you are using a trusted device (like a personal computer or smart phone), you can verify your device and browser for six months. This way, you won’t have to enter a code each time you log in. To verify your device, select the checkbox "Remember my login information" on the screen where you enter your username and password.

If you use a different device or browser, you’ll have to verify again.

Please note that the "Remember my login information" option is not currently available for single sign-on (SSO) or mobile app users, but we are working to add this feature as soon as possible.

This differs for every medication. Read the medication label and the information that comes with your medication to find out more. You also can ask your doctor or pharmacist about the best way to take your medication.

Yes, your prescription will change a little bit. Your written prescription must show that your medication will be delivered, and that you will receive up to a 90-day supply with each refill.

Go to Benefits and select Benefits Overview. Then, choose the links for the benefits you’d like to review.

If this information seems different from what you expected, check your plan's benefits on the TRICARE website.

To set up Autopay for your account:

1. Log in and go to Account, then select Payment Methods.
2. Select the Edit information button.
3. Select your payment method in the Manage your payment information window.
4. Click the Autopay button to turn on the automatic payments function.
5. Select Edit to set the maximum amount we can charge to your payment method.
6. Click the Close button.

Prior Authorization Form: Your prescription may need prior authorization to assure appropriate use for high-risk or high-cost drugs. Prior Authorization criteria are used to make sure your medication is safe, cost effective, and medically necessary.

Your doctor may need to fill out a prior authorization if your drug is generally used for a certain health condition, has the potential to be misused, or has an age or quantity limit.

Medical Necessity Form: Your doctor can complete a medical necessity form if you take non-formulary drugs, which are often a higher cost. If your doctor can establish medical necessity for these drugs, you can get the drug at the formulary (brand) copayment.

Brand Name Request Form: A generic drug contains the same chemical as the brand-name drug but has a lower copayment. If your doctor determines it is medically necessary for you to take the brand-name drug over the generic version, your doctor can request through the Brand Name Request Form. You may pay additional costs for the brand-name drug.

Each time you restart the login process or request a new code, all previous codes become invalid. To make sure that you’re entering the most recent code, try these steps:

1. Delete all previous emails or texts you’ve received from Express Scripts that contain a code for two-step verification.
2. Wait 15 minutes.
3. Click “Send a new code” or begin the login process again to get a new code.

For your single-use code to work, you must keep the two-step verification page open on your browser. If you leave the page and then log in again, you will need a new code.

To view prior claims, you will need to log in. Then, go to Prescriptions and select Order History. On the Recent Order Status page you can search for orders placed in the last 120 days.

• Pay attention to any warnings on the prescription label and find out if the OTC drug is safe to take with your other medications or with the condition(s) you have.
• When in doubt, ask a pharmacist or doctor about the drug’s safety and possible side effects, or about the OTC that will be best for you.
• Do not take more than the dose advised on the label.
• Never take an OTC medication longer than the maximum time written on the label. Stop taking it if your symptoms get worse.
• Keep all medication, including OTC medication, out of the reach of children and pets.

To start automatic refills (auto refill):

1. Log in to your account. Then, go to the Prescriptions menu and choose Auto Refills.
2. Select the Manage Prescriptions tab. Find the medication you want to enroll.
3. Choose Start Auto Refills.

By phone

Call Express Scripts at (877)363-1303 to speak with a patient care advocate.

National Guard and Reserve members with line-of-duty care should contact the Military Medical Support Office at (888)647-6676.

To find the claim form:

1. Go to TRICARE forms.
2. Follow their instructions to submit the reimbursement claim form.

Yes. You can get your medication one of three ways: through Express Scripts Home Delivery, at a Military Treatment Facility (MTF), or at a local retail network pharmacy. If you get a long-term medication through delivery, you can still pick up short-term prescription medications at an MTF or a retail network pharmacy.

Not all MTFs provide pharmacy services. Check with your local MTF before you go to pick up your medication.

With some types of medication you might need to make changes, such as staying out of the sun, avoiding certain foods, or not driving. Ask your doctor or pharmacist to explain if your medication requires you to make such changes. And, always read the medication labels — these explain key things you need to know.

Yes, you can choose to have messages about your medications and benefits emailed to you. If you change your mind, you can always switch back to print communications.

To change the way you get your messages:

1. Log in and go to Account, then select Communication Preferences.
2. Click the Edit Preferences button.
3. Use the Update Your Communication Preferences window and choose how you want to receive messages and documents.
4. Click Submit Changes.

Yes, you can cancel your order if the order is for a refill and the order status is still “pending.”

To find out if your order is pending:

1. Log in to your account and go to Prescriptions, then select Order History to find your pending prescription order. If your order hasn’t shipped, you can click Cancel prescription.

Orders for new or renewed prescriptions cannot be canceled through the member website. If you need to cancel one of these orders, please contact us.

If you want to re-order a medication that you canceled, you might have to get a new prescription from your doctor.

Yes. This is required under your TRICARE plan. There are two options to submit information about your OHI:

1. Log in and go to Account, then select Other Health Insurance. Click the Add OHI button to update your OHI information.

Or

1. Complete the TRICARE OHI form.
2. Mail the form to the address shown on page 1.

If you have questions about the form, please call Express Scripts at (877)363-1303.

Our goal is to have your medications delivered to you 4 days after we receive your prescription. If this is our first time filling that prescription for you, it might take a bit longer.

Tips for quick refills and delivery:

• To avoid running out of your medication, have about a 14-day supply left when you order a refill.
• Ask your doctor to send us your prescription electronically, when possible.
• Order refills and renewals through our website or mobile app.

Notes about shipping:

• Orders that contain certain controlled substances are shipped via United Parcel Service (UPS). An adult must sign for the UPS delivery.
• Medications that require temperature control are sent with expedited shipping at no extra cost to you. Temperature-controlled medications are not available for APO/FPO/DPO addresses.
• Expedited shipping affects only the shipping time. It doesn’t decrease the time it takes us to process your order.

To help keep your account secure, your single-use code will expire after a specific amount of time. Your code will expire after 15 minutes if it was sent via email or 5 minutes if it was sent via text message. This is to make it harder for an unauthorized user to access your account without your consent.

First, make sure you are only entering the most recent code that was sent. Each time you restart the login process or request a new code, all previous codes become invalid.

If your code is still arriving too late, please call our web support team at (800) 711-5672 for help.

It’s important to take your medication as prescribed by your healthcare provider. If you skip a dose or wait too long between doses, the amount of medication in your body can decline and not work as well. If you take your medication too often, the amount in your body could get too high, which could cause problems. If you miss a dose, read the information that comes with the medication or ask your doctor or pharmacist what to do after a missed dose.

Your prescription should include your name and the other standard information provided by the doctor.

To help us fill your prescription safely and quickly, please add these details to the back of your prescription:

• Beneficiary's full name, including Sr. or Jr. if applicable
• Beneficiary's address
• Beneficiary's date of birth
• Beneficiary's uniformed services ID number

The estimated shipping and delivery dates can change if you update the delivery method or address while a prescription is being processed, or we need to process your prescription in a different way than expected.

To see the most current information about your order, log in and go to Prescriptions and select Order History.

If you requested a code via email:

1. Check to see if the email containing your code was sent to your Spam or Trash folders.
2. If you still don't see the email, try waiting for a few minutes. Some email providers take longer than others to process emails that are sent to them.
3. Click the "Send a new code" link on the code entry screens to get a new code.
4. Finally, if you still haven't received your code, please call our web support team at (800) 711-5672 to use an alternative email address to verify your account.

If you requested a code via text:

1. If you don’t receive a code, try clicking the “Send a new code” link on the code entry screen.
2. If you still haven’t received your code, you can request that the code be sent via email instead. Once you have logged in, check to make sure your phone number is correct by going to Two-Step Verification under Account.

To view prior claims:

1. Log in and go to Benefits, then select Claims & Balances.
2. Choose Prescription claims & history.
3. Select Change date range. Enter the months and years for the date range you want to view.
   For example:
   From: January 2018
   To: December 2018
4. Click Submit. A list of all the medications you ordered during the date range you entered will appear.

Mail order payments shows all orders through TRICARE Home Delivery Pharmacy Program for the date range you choose.

Claims reimbursement lists any claims reimbursed for the date range you choose.

Find out about Uniformed Services ID cards at TRICARE.mil.

To find details on a delivery medication, log in to your account. Then, go to Prescriptions and select Order History. The Recent Order Status page shows:

• Invoice number
• Confirmation number
• Shipping details: the date you placed an order, the date it shipped, the method, and address
• Medication name and Rx number
• How much your plan paid
• How much you paid

You can stop automatic refills (auto refill) at any time.

1. Log in to your account and go to Prescriptions.
2. Choose Auto Refills.
3. Choose the Stop Auto Refills tab beside the medications you want to remove from auto refills.

By phone

Call Express Scripts at (877)363-1303 for help stopping auto refills.

Yes, you can make changes to your order before it ships. You can:

• Change the order’s processing date
• Update your shipping address
• Change the shipping method (in some cases)

To make changes:

1. Log in to your account then go to Prescriptions and select Order History to find your pending prescription order.
2. Make any needed updates.
3. Click Submit to save your changes.

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:

1. Go to TRICARE forms.
2. Download the TRICARE Claim Form (DD Form 2462).
3. Mail your completed form to the Express Scripts address on the website.

No. These do not count as Other Health Insurance (OHI). But, Medicare Part D programs do count as OHI.

The Formulary Search Tool is fast and easy to use. It can help you determine where to fill your prescription (e.g. at the military pharmacy, Home Delivery, or a retail pharmacy) and for what cost. In addition, the tool allows you or your doctor to:

• Download required forms (prior authorization (PA) and medical necessity (MN);
• Understand copayments; and
• Look for alternatives if your medication has a generic equivalent or is not covered.

Yes, if you set a maximum limit for your payment method, we cannot charge your chosen payment method more than this amount at any one time unless you approve it first.

To set a maximum amount we can charge to your payment method:

1. Log in and go to Account and select Payment Methods.
2. Click the Edit information button and then select your payment method in the Manage your payment information window.
3. Select Edit.
4. Enter a maximum limit for your payment method.

Some plans offer an Extended Payment Plan (EPP), which allows you to break a bill into three payments. To enroll:

1. Log in and go to Account, then select Payment Methods.
2. Click Edit Information.
3. Select Extended Payment Program (EPP). If you don’t see this option, EPP is not offered for your plan.
4. Select the payment method you want to use for your extended payments.
5. Click the checkbox to agree to EPP Terms and Conditions. This is a required step to enroll in the program.
6. Click Close.

You can record these details in our online Health Questionnaire.

1. Log in and go to Benefits.
2. Select Print Forms.
3. Scroll to the Health, allergy & medication questionnaire section.
4. Select the name and date of birth and click the Get Started button.
5. Fill out the form online and select Submit to send it to us.

When you fill a prescription, our pharmacists will use these details to check if there might be concerns or conflicts with any of your medications.

An over-the-counter (OTC) medication does not require a prescription. Examples include aspirin and cough medication, as well as vitamin and herbal supplements.

OTC drugs can sometimes cause side effects or serious problems if taken with prescription medications. Before taking any OTC medication, look for safety warnings on both the OTC package label and in the information that comes with your prescription medication.

Always check with your doctor or pharmacist if you’re not sure about using an OTC medication.

If you need help or have a question that isn’t answered on this page, please call us at (800) 711-5672.