Healthcare Professionals

Express Scripts is here to support you and your patient.

We manage the TRICARE pharmacy benefits for millions of uniformed service members, retirees, and their families around the world.

Healthcare provider teaching a patient about a medical device.

About Us

What we cover

Search our formulary to find what medications are covered, see generic equivalents, get prior authorization information, and compare prices. 

Helping your patient understand their benefit

If your patient isn't sure if they’re covered by TRICARE, they can check their eligibility.

TRICARE members can learn more about their prescription benefit by registering. Once they’re registered, they can learn more about medication delivery and automatic refills, find a convenient TRICARE network pharmacy, and take more control of their medication. 

 


 

Provider Resources

Prescription Monitoring Program Contact Information

Email: TRICARE111@express-scripts.com
Phone: 866-333-1348
Fax: 866-579-4662
Mail: Express Scripts
Prescription Monitoring Department
1 Express Way


MHS Prescription Drug Monitoring Program (PDMP)

Email: MHSPMP@express-scripts.com
Access: https://mhs.pmpaware.net/login


Forms and Documents

Providers

We’ll work with you to get your patient the medication they need at the best possible price. 

How patients get medication

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We can deliver 90-day supplies of maintenance medications to TRICARE patients, wherever they are. Express Scripts Pharmacy sends medication in secure, weather-resistant packaging. Free standard delivery is included in the benefit. 

Patients also have the option to pick up most medication at a military treatment facility (MTF) or a retail pharmacy. Patients get up to 90-day supply at an MTF and up to a 30-day supply at retail pharmacies. An MTF has no copay. Home delivery and retail pharmacies might require a copayment. Patients can see their costs by searching Covered Medications

You can quickly and securely send a prescription to us electronically through e-prescribing. Learn more
 

Resources to help MTFs prevent misuse of prescription medication

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The Prescription Monitoring Program works with MTFs and TRICARE Managed Care Support Contractors to identify patients at risk of misusing prescription drugs. At risk patients may have their pharmacy benefit restricted in order to prevent or decrease drug seeking behavior. 

The Prescription Drug Monitoring Program (PDMP) is a data base that allows  providers access to complete information prior to prescribing controlled substances. With it, you can see if a Schedule II-V medication (e.g., opioid, anabolic steroid, sleep medication, or ADHD medication) was recently prescribed to your patient from another prescriber or military treatment facility.

 

How to prescribe medication for a patient who is deploying

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When a patient is deploying, they may get up to a 180-day initial supply.  Refills of their medication can be delivered through the Deployment Prescription Program (DPP).

We’ll work with you to make sure your patient gets their therapy while deployed. Learn more about getting started and prescription requirements.

Email: DeployedPrescriptionProgram@express-scripts.com
Phone: 855-215-4488

 

 


 

Prescription Monitoring Program Contact Information

Email: TRICARE111@express-scripts.com
Phone: 866-333-1348
Fax: 866-579-4662
Mail: Express Scripts
Prescription Monitoring Department
1 Express Way


MHS Prescription Drug Monitoring Program (PDMP)

Email: MHSPMP@express-scripts.com
Access: https://mhs.pmpaware.net/login


Forms

Pharmacists

We’ll work with you to get your patient the medication they need.

What to do if a patient has other health insurance (OHI)

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The patient’s OHI is the primary payer for prescriptions and TRICARE is the secondary payer, except in certain conditions.

When filling a prescription, you can submit to both insurance plans at the same time to reduce the patient’s cost and make sure they don’t need to file a paper claim.
 

How deploying patients get medication

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When a patient is deploying, they may get up to a 180-day initial supply and then can get medication delivered by the Deployment Prescription Program. Learn more


Resources to help MTFs prevent misuse of prescription medication

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The Prescription Monitoring Program works with MTFs and TRICARE Managed Care Support Contractors to identify patients at risk of misusing prescription drugs. Providers can request restrictions for identified patients. The Prescription Drug Monitoring Program (PDMP) is a database that allows  pharmacists access to complete information prior to dispensing controlled substances. With it, you can see if a Schedule II-V medication (e.g., opioid, anabolic steroid, sleep medication, or ADHD medication) was recently prescribed to your patient from another prescriber or military treatment facility.