August 14, 2015
beneficiaries will be required to refill select maintenance medications
through TRICARE Pharmacy Home Delivery or at a military pharmacy - or
pay the full price at retail - beginning Oct. 1.
was originally tested through a pilot program from the FY13 defense
bill, which mandated TRICARE for Life beneficiaries into the above
The FY15 defense bill expanded the pilot to
encompass all TRICARE beneficiaries, with the exception of those on
active duty, those with other health insurance that provide drug
coverage, or those who live overseas. While active duty servicemembers
are exempt from the mandate, active duty family members will be required
to participate in the program.
In September, beneficiaries will
receive a notification letter from TRICARE providing details on
enrollment instructions and the waiver process.
can still get short-term or “acute” drugs from retail pharmacies like
antibiotics and pain medications. The new mandate only applies to select
maintenance medications, many of which are brand name.
Unlike the original pilot, there will be no ability to “opt out” of the program after one year.
Oct. 1, beneficiaries will have approximately 90 days to move their
prescriptions before being responsible for 100 percent of the cost
For years, MOAA has said that home delivery is a low cost,
safe, and convenient option for beneficiaries to fill their maintenance
drugs and save money.
“Switching to TRICARE's home delivery
saves the government on average 32% on brand name drugs filled through
the mail order,” said Capt Kathy Beasley, USN (Ret), MOAA's Deputy
Director of Government Relations. “This is another example of
beneficiaries doing their part to help drive the cost of health care