Whereas, mail order is the preferred location for all chronic medications, as there is a lower cost-share compared to retail. For example, the MTFs do not require cost-shares, making them the preferred location to fill all medications where accessible. Pricing Options – Epocrates can also help providers better understand a patient's cost-share at the three types of locations covered by TMA: Military Treatment Facilities (MTFs), mail order and retail.With point-of-care availability of the formulary list, healthcare providers can determine the most affordable prescription options for patients. Preferred Lists – Healthcare providers using Epocrates can quickly access TRICARE's list of preferred medications, segmented by three tiers of cost-share.By identifying and addressing prior authorizations upfront, it reduces timely callbacks from the pharmacy and delays in medication delivery to patients. In such cases, healthcare providers can conveniently link to the prior authorization website from within the Epocrates application. Prior Authorizations – Some medications require prior authorization, or additional information from the prescriber, before TRICARE allows coverage.Healthcare professionals using Epocrates software now have free access to TRICARE formulary information, including: This drug information is made available to all healthcare providers who are Epocrates' subscribers across the Military Healthcare System. Using Epocrates' mobile and online drug reference applications, healthcare providers worldwide treating TRICARE patients can now easily access the formulary information. In 2017, CBO came out with a report on how DoD could save money in the Military Health System and pointed to cost sharing as one of its top options.TRICARE is the DoD's healthcare program serving 96 million Uniformed Service members, retirees and their families. The lawmakers did not give a specific reason for the cost increases in the 2018 NDAA, however, for years the Congressional Budget Office has been suggesting that DoD require more cost sharing from its TRICARE beneficiaries. After 2026, DoD would be able to keep the previous year’s price and increase it the following year based on cost adjustments. The 2018 NDAA allows TRICARE to increase its drug copayments every year until 2026, meaning it is likely that copayments will continue to rise. Medically retired service members and their family members will not see an increase in copayments. Beneficiaries will pay 50% of the costs.Īctive duty service members and survivors will still get free drugs from military pharmacies, retail network pharmacies and through home delivery. Brand-name formulary drugs will increase from $33 to $38įor non-network pharmacies, the costs will remain the same.Generic formulary drugs will increase from $13 to $14.TRICARE retail network pharmacies (Up to a 30-day supply) Non-formulary drugs will increase from $60 to $68.
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