TRICARE retail pharmacy network to implement change

  • Published
  • By Maj. Amber Schindele
  • 21st Medical Group
Express Scripts Inc., the TRICARE pharmacy contractor, will implement a change to the TRICARE retail pharmacy network Dec. 1. The change adds all Walgreens pharmacies to the network and removes all CVS pharmacies, including those in Target stores.

Beneficiaries who continue to fill a prescription at CVS after the change will pay the full cost of their prescription upfront, and file a claim for partial reimbursement as from any other non-network pharmacy. There is no change to TRICARE pharmacy copays associated with this action.

What happens if I fill a prescription at CVS after Dec. 1, 2016?
Answer: CVS pharmacies, including CVS pharmacies in Target stores, will no longer be in the TRICARE retail pharmacy network after Dec. 1. If you fill a prescription at CVS after that date, you will have to pay the full cost of the medication upfront, and file for partial reimbursement through Express Scripts.

What happens if I fill a prescription at Walgreens before Dec. 1, 2016?
Answer: If you fill a prescription at Walgreens before Dec. 1, it will be a non-network pharmacy and you will have to pay the full cost of the medication upfront, and file for partial reimbursement through Express Scripts.

Can I move my prescription to home delivery or a military pharmacy?
Answer: You may be able to move your maintenance (medications you take regularly for a chronic condition) or specialty prescription to home delivery. Visit www.express-scripts.com/TRICARE to transfer your prescription, or call ESI at 855-778-1417. You can move your prescription to a military pharmacy, but check first to ensure your medication is available. Visit www.tricare.mil/mtf for contact information for your local military pharmacy.

How do I transfer a prescription to a new network pharmacy?

Take your prescription bottles to the new pharmacy. The pharmacist there will contact your old pharmacy OR

Call your new pharmacy and have them get your prescription information from your old pharmacy OR

Ask your doctor to send your prescription information to the new pharmacy.

For more information, please visit https://www.express-scripts.com/TRICARE/news/walgreens.shtml