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Information for Pharmaceutical Manufacturers

This page is intended to provide information to Pharmaceutical Manufacturers about the TRICARE Retail Pharmacy Refund Program and the TRICARE Pharmacy Benefit Uniform Formulary. 

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Current Billing Schedule

1QCY19 – 4QCY20 Billing Schedule

Quarter  Billing Period  File Delivery  Demand Letter Date (Invoice)  Refund Payment Due Date  Dispute Cut Off Date
1QCY19 January - March 2019 June 11, 2019 July 21, 2019 August 20,2019 August 20, 2019
2QCY19 April - June 2019 September 11, 2019 October 21, 2019 November 20, 2019 November 20, 2019
3QCY19 July - September 2019 December 11, 2019 January 20, 2020 February 19, 2020 February 19, 2020
4QCY19 October - December 2019 March 13, 2020 April 22, 2020 May 22, 2020 May 22, 2020
1QCY20  January - March 2020 June 11, 2020 July 21, 2020 August 20, 2020 August 20, 2020
2QCY20
April - June 2020 September 11, 2020 October 21, 2020 November 20, 2020 November 20, 2020
3QCY20
July - September 2020 December 11, 2020  January 20, 2021 February 19, 2021  February 19, 2021 
4QCY20
October - December 2020 March 11, 2021  April 20, 2021 May 20, 2021 May 20, 2021

Please Note: This schedule also applies to executed UF-VARR and UF-ADP agreements.

Rebate File Format: Beginning October 31, 2012 current TRICARE Retail Refund utilization files will move from the NCPDP Version 3.x to NCPDP Version 5.x Rebate File Format. 

BILLING SCHEDULE

Final Rule and Program Updates

November 11, 2016 

Webinar

Operational Documents

Select from the following operational documents related to the TRICARE Retail Pharmacy Refunds Program.

File Date
Encryption Wizard Info 10/15/2018
340b Verification Form 6/30/2017
National Defense Authorization Act for 2008, Section 703 12/1/2007
TRICARE Dispute Resubmission Form 5/26/2016
TRICARE Retail Refund Appendix A Change Request Form 3/5/2019
TRICARE Retail Refund DoD Pricing Agreement 7/9/2018
TRICARE Retail Pharmacy Program Questionnaire 10/23/2018
Manufacturer Policy and Procedure Guide 1/22/2019

DHA Address: 7700 Arlington Boulevard | Suite 5101 | Falls Church, VA | 22042-5101

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