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Changes to TRICARE Pharmacy benefit effective Feb. 1

Madigan Public Affairs

Published: 04:17PM January 21st, 2016

Starting Feb. 1, several changes to the TRICARE Pharmacy benefit will take effect, notably the online refill system and the copay costs for retail network pharmacies and home delivery.

When refilling prescriptions online, patients receiving their medication from a military hospital will need to use the Rx Refill system available only on the TRICARE Online portal at tricareonline.com.

In the same manner used by the current refill system, patients will need to be registered with TRICARE Online, know the last four digits of the sponsor’s social security number, the preferred pickup pharmacy — main outpatient, outlying clinic pharmacy — and the numeric portion of the prescription numbers to be refilled.

Madigan’s pharmacies can typically refill prescription requests in three days. The current phone refill system will still function normally. Patients can call 253-968-2999 to refill prescriptions over the phone.

Transferring the online prescription refill system to the TRICARE Online portal allows patients at military hospitals to access their health care records and make health-related requests using a single online resource. Now, Madigan patients will be able to make, change or cancel appointments, access medical records like radiology and lab results, refill prescriptions — to include direct links to the home delivery service — and send messages to your provider and care team using TRICARE Online.

Madigan is working hard to ease the pharmacy process, and expects to roll out a one-ticket system in the next few weeks. In addition, Madigan is also testing ID card scanning and text messaging programs to implement, which will allow patients quicker service and convenient notification when medications are ready for pickup.

Military pharmacies and TRICARE Pharmacy Home Delivery will remain the lowest cost pharmacy option for TRICARE beneficiaries when some TRICARE Pharmacy copays change in 2016. On Feb 1, most copays for prescription drugs at home delivery and retail network pharmacies will increase slightly.

The 2016 National Defense Authorization Act requires TRICARE to change its prescription copays. All drugs at military pharmacies, and generic drugs through home delivery, are still available at no cost to beneficiaries.

Copays for brand name drugs through home delivery increase from $16 to $20, for a 90-day supply. At retail pharmacies, generic drug copays go from $8 to $10, and brand name drug copays go from $20 to $24 dollars, for up to a 30-day supply. Copays for nonformulary drugs and for drugs at non-network pharmacies will also change.

Beneficiaries can save up to $208 in 2016 for each brand name prescription drug they switch from retail pharmacy to home delivery. Home delivery offers safe and convenient delivery of your prescription drugs right to your mailbox.

To see the new TRICARE pharmacy copays, learn more about the TRICARE Pharmacy benefit, or move your prescription to home delivery, visit tricare.mil/pharmacy.