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TRICARE Pharmacy Program

The TRICARE Pharmacy Program provides prescription drugs to beneficiaries in a safe, easy, and cost-effective manner. 

  • TRICARE has partnered with Express Scripts, Inc. to offer a robust pharmacy benefit.
  • TRICARE covers most prescription drugs approved by the U.S. Food and Drug Administration.

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DHA PI 6025.08: Pharmacy Enterprise Activity EA

Policy

This Defense Health Agency-Procedural Instruction (DHA-PI): a. Based on the authority of References (a) through (c), and in accordance with the guidance of References (d) through (g), establishes the Defense Health Agency’s (DHA) procedures to: (1) Exercise management responsibilities for Pharmacy Shared Service/EA functions in the Military Health System (MHS). This DHA-PI is binding on the MHS and supports the Director’s, DHA, responsibility to develop appropriate management models to maximize efficiencies in the activities carried out by DHA. (2) Recognize the Pharmacy Work Group (PWG) as the operational body to implement pharmacy strategies and programs per the Director’s, DHA, guidance. Also, develop strategic initiatives and business process models to optimize pharmacy operations and programs in accordance with Reference (e). (3) Promulgate guidance, define roles, assign responsibilities, and prescribe procedures for the development, coordination, execution, and implementation of standardized Pharmacy Operations and EA procedures within the MHS and Military Departments (MILDEPs). (4) Execute Pharmacy EA assigned responsibilities and functions, and in accordance with Reference (b), when needed, rely on advice and assistance of governance councils established by the Under Secretary of Defense for Personnel and Readiness and the Assistant Secretary of Defense for Health Affairs (ASD(HA)), including senior representatives of the MILDEPs. (5) Provide DHA combat support agency pharmacy functions, in accordance with Reference (b), specifically involving support for operating forces engaged in planning for, or conducting, military operations, including support during conflict or in the conduct of other military activities related to countering threats to U.S. National Security. The Pharmacy EA innovatively manages and standardizes DoD pharmacy operations in a fiscally responsible manner to optimize readiness, improve health, and lower costs through better care. (6) Support baseline knowledge, skills, and abilities for each wartime pharmacy specialty, addressing gaps between peacetime and deployed operational requirements, in collaboration with the MILDEPs, and military Medical Treatment Facility (MTF) pharmacies. (7) Support programs for skills and knowledge assessments and provide for training/retraining opportunities, as needed, for each wartime pharmacy specialty for military MTF pharmacies. (8) Empower enterprise-level pharmacy clinical communities to define, prioritize, and implement “best-in-class” High Reliability Organization practices to enable readiness through decreasing variation, improving outcomes, and positively impacting healthcare in the MHS. (9) Support the scaling and reconfiguring of pharmacy capabilities required to support the forward operating environment; e.g., hospital ship, combat support hospitals, Expeditionary Medical Support. The Services’ Surgeons General will have deployed medical mission command over health services support of pharmacy resources and capabilities at various levels of command and at diverse locations. b. Transforms varied Tri-Service Pharmacy Operations approaches into a single, integrated DHA Pharmacy Program that standardizes pharmacy shared services and optimizes business processes as directed by the National Defense Authorization Act for Fiscal Year 2017, Section 702 (Reference (c)). c. Drives standardization of institutional and operational commands, sustains and improves medical readiness, creates value within the MHS, and achieves interoperability across platforms to deliver better health care to the warfighter, MHS beneficiaries, and build a medically ready force.

DHA PI 6025.07: Naloxone in the MTFs

Policy

This Defense Health Agency-Procedural Instruction (DHA-PI), based on the authority of References (a) through (c), and in accordance with the guidance of References (d) through (h), establishes the Defense Health Agency’s (DHA) procedures for prescribing and dispensing naloxone by pharmacists in MTFs to eligible beneficiaries, upon beneficiary request, or when the pharmacist determines the beneficiary meets the established criteria for being at risk for a life-threatening opiate overdose.

DHA PI 6025.04: Pain Management and Opioid Safety in the MHS

Policy

The purpose of our MHS Pain Management Campaign is to enable Clinical Communities to provide evidence-based pain management guided by clinical practice guidelines (CPGs): effectively treat acute and chronic pain; promote non-pharmacologic treatment; prevent acute pain from becoming chronic; and minimize use of opioids with appropriate prescribing only when indicated. The Pain Management Clinical Support Service achieves these ends through clinical improvements in pain care, clinician and patient education, and research. This Defense Health Agency-Procedural Instruction (DHA-PI) is a dual effort between the Pain Management Clinical Support Service and the Clinical Communities to achieve our stated purpose through implementation of the MHS Stepped Care Model.

DHA PI 6025.25: Military Health System (MHS) Drug Take Back (DTB) Program

Policy

This Defense Health Agency-Procedural Instruction (DHA-PI), based on the authority of References (a) and (b), and in accordance with the guidance of References (c) through (g): - Describes procedures for MHS organizations to offer beneficiaries the option of returning their controlled and non-controlled prescriptions and over-the-counter medications for disposal through a DTB program. The DTB program will provide an environmentally safe method for beneficiaries to properly and safely remove unused and expired medications from circulation, including medications that can be used for suicide or suicide attempts and have the potential for misuse, diversion, or accidental poisoning. - Details the tasks and procedures necessary to ensure successful implementation of the MHS DTB program within military Medical Treatment Facilities (MTFs).

Increases to TRICARE pharmacy copayments coming

Article
1/5/2018
TRICARE urges you to take command of your health care to enhance your TRICARE experience.

On Feb 1, 2018, copayments for prescription drugs at TRICARE Pharmacy Home Delivery and retail pharmacies will increase.

Recommended Content:

TRICARE Pharmacy Program | TRICARE Formulary

Increases to TRICARE pharmacy copayments coming Feb. 1, 2018

Article
12/18/2017
TRICARE urges you to take command of your health care to enhance your TRICARE experience.

On Feb. 1, 2018, copayments for prescription drugs at TRICARE Pharmacy Home Delivery and retail pharmacies will increase.

Recommended Content:

TRICARE Pharmacy Program | TRICARE Health Program

WBAMC pharmacist catches serious drug interaction

Article
11/27/2017
Dr. Anna Jewula, pharmacist, Department of Pharmacy, William Beaumont Army Medical Center, is recognized for her attentiveness in assisting a patient with a prescription order that contraindicated a previous prescription medication, avoiding a potentially serious drug interaction detrimental to the patient’s health (U.S. Army photo Marcy Sanchez)

Thanks to a pharmacist’s careful eye, one patient avoided a potentially deadly drug interaction

Recommended Content:

Military Hospitals and Clinics | TRICARE Pharmacy Program

Annual consent for automatic prescription refills begins Sept. 1

Article
8/31/2017
Beginning Sept. 1, 2017, Express Scripts will need annual consent from patients who want to receive automatic refills of their maintenance medications enrolled in TRICARE Pharmacy Home Delivery. (U.S. Air Force photo by Airman 1st Class Alystria Maurer)

Beginning Sept. 1, 2017, Express Scripts will need annual consent from patients who want to receive automatic refills of their maintenance medications enrolled in TRICARE Pharmacy Home Delivery

Recommended Content:

TRICARE Pharmacy Program | Maintenance Drug List

Pain, pain, go away: Improving care and safety when managing pain

Article
5/15/2017
Recently published opioid therapy clinical practice guideline focuses aims to improve quality of care and patient safety when treating acute and chronic pain (U.S. Air Force Photo by Airman Valerie Monroy).

DoD and VA have released updated recommendations for providers managing patients’ acute and chronic pain using opioid therapy.

Recommended Content:

TRICARE Pharmacy Program | DoD/VA Sharing Initiatives | Patient Safety | Warrior Care

Mixing supplements and medications

Article
10/20/2016
Interactions between drugs and supplements can result in either an increase or decrease in the effectiveness of your medications. In other words, you could be getting too much or too little of the medications that you need, which can be dangerous to your health. (U.S. Air Force photo by Senior Airman Hailey R. Staker)

Interactions between drugs and supplements can result in either an increase or decrease in the effectiveness of your medications

Recommended Content:

Human Performance Resource Center | Integrative Wellness | TRICARE Pharmacy Program

Ten defendants charged in $100 Million TRICARE fraud scheme

Article
10/17/2016
Official TRICARE logo

Special agents with the Federal Bureau of Investigation and the Defense Criminal Investigative Service arrested nine defendants this week in connection with their roles in a $100 million health care fraud conspiracy perpetrated against TRICARE

Recommended Content:

TRICARE Health Program | TRICARE Pharmacy Program | Program Integrity

Formulary Process

Video
7/28/2015
Formulary Process

Watch this episode of TRICARE TV to learn about the TRICARE Pharmacy Formulary Process.

Recommended Content:

TRICARE Formulary | TRICARE Pharmacy Program

Compound Drug Screening

Video
6/24/2015
Compound Drug Screening

Watch this episode of TRICARE TV to learn about TRICARE's new compound drug screening procedure.

Recommended Content:

TRICARE Pharmacy Program | Compound Drugs

Military Health System Prescription Transfer Procedures

Policy

Effective immediately, all Department of Defense (DoD) military treatment facility (MTF) outpatient pharmacies will accept patient requests for prescription transfers from another MTF and from retail pharmacies. When another pharmacy requests prescription transfer information on behalf of a patient, DoD MTF outpatient pharmacies will respond to the inquirer in a timely manner.

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