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TRICARE Pharmacy Network Update

Friday, October 21, 2022

As of Oct. 24, 2022, about 15,000 independent pharmacies will no longer be part of the TRICARE retail pharmacy network. TRICARE reports that even with the departure of these community pharmacies, the network will still offer access to more than 40,000 pharmacies. Read more at https://newsroom.tricare.mil/Articles/Article/3186908/tricare-pharmacy-network-changes-may-affect-independent-pharmacy-customers

Express Scripts, Inc. (Express Scripts) the TRICARE pharmacy contractor, manages the TRICARE pharmacy retail network and notified affected beneficiaries in mid-September. TRICARE patients are encouraged to use Express Scripts’ online “Find a Pharmacy” tool at https://militaryrx.express-scripts.com/find-pharmacy to find current retail network pharmacies in their area. Beneficiaries still have the option to use home delivery and military pharmacies. 

Beneficiaries who use a non-network pharmacy will have to pay full retail price for the medication and file a claim for reimbursement. Claims will be subject to a deductible or out-of-network cost-shares and copayments.

Reminder! For your patients who require specialty prescription drugs, starting Jan. 1, 2023, Accredo will be the primary TRICARE in-network specialty pharmacy. Patients who get specialty drugs at one of the affected pharmacies, can switch to Accredo now. They don’t have to wait until January. For more information, go to the Accredo website.

Learn more at www.tricare.mil/pharmacy and https://militaryrx.express-scripts.com.