Do you have a question about the TRICARE Pharmacy Program? For example, are you wondering how to find a network pharmacy? Or do you want to know if you have coverage for a prescription? This article explains whom to contact to get answers to your pharmacy questions.
Your point of contact depends on where you live or where you’re traveling. The TRICARE Pharmacy Program administrator, https://militaryrx.express-scripts.com/, administers most pharmacy needs for TRICARE beneficiaries in the U.S. If you live overseas, you’ll need to contact the overseas contractor, https://www.tricare-overseas.com/.
“You can make the most of your TRICARE pharmacy benefit when you know who to contact,” said U.S. Public Health Service Cmdr. Teisha Robertson, Chief, Pharmacy Integration Branch at the Defense Health Agency. “Your location and TRICARE health plan determine who you should contact for your pharmacy questions.”
When to contact Express Scripts Do you live in the U.S. or U.S. territory including Puerto Rico, Guam, the Northern Mariana Islands, and the U.S. Virgin Islands? If so, https://militaryrx.express-scripts.com/ can help with most pharmacy needs. Call Express Scripts at:
You can call them with questions about:
Coverage limitations: Find out if your drug needs prior authorization, has a quantity limit, or any other coverage limitation before you get it filled.
Claims in the U.S. You may need to file your own claim if you fill a prescription at a non-network pharmacy in the U.S. or U.S. territories, as described in the TRICARE Pharmacy Program Handbook. At non-network pharmacies, you have to pay full price for your prescription drugs. Once you pay you mustfile a claimfor reimbursement. Reimbursements are subject to deductible or out-of-network cost-shares, and copayments. All deductibles must be met before reimbursement.
Who to contact if you live overseas Do you live overseas? If so, contact https://www.tricare-overseas.com/beneficiaries/resources/pharmacy for your all of your pharmacy needs. You can contact International SOS using the https://www.tricare-overseas.com/contact-us.
TRICARE For Life beneficiaries In the U.S. or a U.S. territory, call Express Scripts for pharmacy help. If you’re overseas, call International SOS.
Only contact WPS Government Services with questions about your health benefit. WPS doesn’t administer the pharmacy benefit.
Contact information To reach the appropriate contractor with your specific pharmacy questions, call: