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New: Transitional Care for Service-Related Conditions

The Transitional Care for Service-Related Conditions (TCSRC) Program began on 1 November and it extends TRICARE coverage to former active duty, Guard, and Reserve members for certain service-related conditions beyond their regular 180-day TAMP coverage period. Learn more about TCSRC.

TRICARE Pharmacy Program Update

As the Department of Defense implements the new combined TRICARE Pharmacy Services contract, there are some things you may need to be aware of.

  1. The number of network SPECIALTY pharmacies decreases from 220 to 130. Approximately 2,200 beneficiaries will be impacted by this decrease; however, access to specialty medications hasn't changed. Affected beneficiaries were notified of the change by mail. Beneficiaries may contact ESI for assistance in finding a new network specialty pharmacy or for assistance in transferring their prescriptions to the mail order pharmacy.
  2. The combined contract improves oversight of the pharmacy benefit, including strict enforcement of prohibitions against cost sharing prescriptions written by sanctioned or suspended providers. The TRICARE Operations Manual Chapter 13, Section 6, outlines how sanctioned and suspended providers are treated. Section 6 outlines the authority given to the Department of Health and Human Services (DHHS) to impose exclusion from all Federal health care programs, including TRICARE. Failure to comply with DHHS exclusion is a violation of Federal law and may subject ESI and the Government to penalties/fines. Prescriptions from a sanctioned provider won't be cost shared after 4 November. Affected beneficiaries were notified of this situation by mail.
  3. The Over-The-Counter (OTC) Medication Demonstration Project will continue for another year but copays under the program will change from zero to the generic copay. After 4 November beneficiaries starting therapy on one of these select OTCs will need a prescription from their provider. Due to contractual limitations ESI can't send letters to beneficiaries with active refills for OTCs covered under this program until 4 November.


New TRICARE Pharmacy Services Contract Awarded
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Philippines Demonstration begins January 2013. View questions and answers; use "Philippines" as your search term.

Changes to pharmacy services in Philippines. >>Learn More

TRICARE is proud to announce the TRICARE Spotlight page to recognize awards, promotions and good news across the MHS.

The Military Health System hosts "Dot-Mil-Docs" every Thursday at 3 p.m. (EST) at www.blogtalkradio.com/Dot-Mil-Docs.

At TRICARE University, you can register for certified classroom and online training or just browse basic TRICARE information.

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