Tricare pharmacy links go live
- By Dawn S. Onley
- Jun 02, 2004
The new Tricare Retail Pharmacy program became effective yesterday, linking military members and their beneficiaries to about 53,000 civilian pharmacies in the United States, Puerto Rico, the Virgin Islands and Guam.
The pharmacies are part of a centralized, national network.
For eligibility to use the TRRx program, beneficiaries must be enrolled in the Defense Enrollment Eligibility Reporting System. DEERS requires that beneficiaries report any changes to their personnel status like change of address, marriage or divorce, to the site.
Previously, Tricare had a slew of regional managed care contractors who provided pharmacy services.
The TRRx contract was awarded last year to Express Scripts Inc. of Maryland Heights, Mo.
'The new single contract integrates the previous regional contracts into one uniform retail pharmacy benefit across all Tricare regions,' said Army Col. William Davies, director of DOD pharmacy programs, in a Defense release.
Among the enhancements of the TRRx program:Pharmacy claims processing is centralized. Beneficiaries no longer have to mail the claims to multiple sites for processing or call various telephone numbers. With the program, they can file a claim using the Pharmacy Data Transaction Service. PDTS is an automated tool that reviews a beneficiary's new prescription against other prescriptions filled at any point of service in the Military Health System.The TRRx benefit is now portable. To locate a network pharmacy, beneficiaries can use the Tricare pharmacy locater service.
The TRRx program is not available for beneficiaries who live or travel outside the United States or its territories.