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Defense Health Agency

"On October 1, 2013, the Department of Defense established the Defense Health Agency (DHA) to manage the activities of the Military Health System. These activities include those previously managed by TRICARE Management Activity (TMA), which was disestablished on the same date. During the next several months, all TMA websites will change to reflect the new DHA. We appreciate your patience during this transition."

Welcome

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

NEW GUIDANCE:

  • An Important Message from your TRICARE Retail Refund Team:

    Manufacturers,

    TMA is in the process of formalizing dispute procedures IAW 32 CFR 199.21(q)(3)(iv). These procedures, to include deadlines for submission of disputes of the accuracy of TMA’s utilization data, will be published at a later date in the TRICARE Policy Manual. Pending publication of the complete dispute procedures, TMA is proceeding with implementation of dispute procedures for 2008, and the 1st and 2nd quarters of 2009. TMA will continue to accept disputes for this period until July 31st, 2013. Disputes for this period will not be accepted after July 31st.

    TRICARE Retail Refund Program Releases:

    DoD Retail Refund Pricing Agreement and TRICARE Retail Refunds Pricing Agreement.

    Releases:

    Release #2

TRICARE RETAIL REFUND WEBSITE (TRRWS) UPDATES:

  • The previously emailed Reconciliation of Quarterly Utilization (RQU) is now available on the TRRWS. Please complete and submit along with payment.

    For any questions or issues please contact your TRICARE Retail Refunds Team.

    Email: UFVARR_Requests@dha.mil
    Please include in the subject line:
    Labeler Code:
    Manufacturer name:
    Question/Issue: (ex: Trouble accessing TRRWS)

3QCY13 – 4QCY14 BILLING SCHEDULE

Quarter Billing Period File Delivery Demand Letter Date (Invoice) Refund Payment Due Date
3QCY13 JULY - SEPTEMBER 2013 OCTOBER 31, 2013 DECEMBER 10, 2013 JANUARY 9, 2014
4QCY13 OCTOBER - DECEMBER 2013 JANUARY 31, 2014 MARCH 12, 2014 APRIL 11, 2014
1QCY14 JANUARY –MARCH 2014 MAY 1, 2014 JUNE 10, 2014 JULY 10, 2014
2QCY14 APRIL – JUNE 2014 JULY 31, 2014 SEPTEMBER 9, 2014 OCTOBER 9, 2014
3QCY14 JULY – SEPTEMBER 2014 OCTOBER 31, 2014 DECEMBER 10, 2014 JANUARY 9, 2015
4QCY14 OCTOBER – DECEMBER 2014 JANUARY 30, 2015 MARCH 11, 2015 APRIL 10, 2015

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

*New 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. Utilization files for 3QCY09 - 4QCY11 will remain in the NCPDP Version 3.x Rebate File Format.

3QCY09- 4QCY11 BILLING SCHEDULE

Quarter Billing Period File Delivery Demand Letter Date
(Invoice)
Refund Payment
Due Date
3QCY09 JULY - SEPTEMBER 2009 FEBRUARY 28, 2013 April 19, 2013 MAY 9, 2013
4QCY09 OCTOBER - DECEMBER 2009 MARCH 29, 2013 MAY 8, 2013 JUNE 7, 2013
1QCY10 JANUARY - MARCH 2010 MAY 31, 2013 JULY 10, 2013 AUGUST 9, 2013
2QCY10 APRIL- JUNE 2010 JUNE 28, 2013 AUGUST 7, 2013 SEPTEMBER 6, 2013
3QCY10 JULY - SEPTEMBER 2010 AUGUST 30, 2013 OCTOBER 9, 2013 NOVEMBER 8, 2013
4QCY10 OCTOBER - DECEMBER 2010 DECEMBER 16, 2013 JANUARY 25, 2014 FEBRUARY 24, 2014
1QCY11 JANUARY - MARCH 2011 DECEMBER 31, 2013 FEBRUARY 9, 2014 MARCH 11, 2014
2QCY11 APRIL - JUNE 2011 FEBRUARY 28, 2014 APRIL 9, 2014 MAY 9, 2014
3QCY11 JULY - SEPTEMBER 2011 MARCH 31, 2014 MAY 10, 2014 JUNE 9, 2014
4QCY11 OCTOBER - DECEMBER 2011 MAY 30, 2014 JULY 9, 2014 AUGUST 8, 2014