Starting October 1, 2011, copayments for some generic medications filled through the home delivery program will drop from $3 for a 90-day supply to zero. That's right. By utilizing home delivery for your generic medications you'll pay nothing for a three-month supply. However, if you choose brand name drugs instead of generics you'll still pay a $9 copayment for a 90-day supply.
Furthermore, effective October 1, 2011 copayments will increase for prescriptions filled at retail pharmacies. The new fees reflecting the price increase are:
- Generics will increase from $3 to $5 for a 30-day supply.
- Brand name drugs will increase from $9 to $12 for a 30-day supply.
- Non-formulary medicine, which is essentially medications that are not on a preferred medication list, will increase from $22 to $25 for a 30-day supply. This price also applies for the home delivery program. Not sure if your medication is formulary or non-formulary? Find out by using this handy search tool provided by TRICARE.
"This is the first change to TRICARE pharmacy copays since 2002. Our goal is to keep costs as low as possible for our beneficiaries and DoD," Rear Adm. Christine Hunter, TRICARE Management Activity deputy director said in a news release. Furthermore, "These new copays make using TRICARE Pharmacy Home Delivery more affordable than ever," she said.
Signing up for Home Delivery
The most convenient way to convert your prescription from a retail pharmacy to the home delivery program is to utilize the Member Choice Center. To get started you'll need to activate an account for each beneficiary (family member) that will receive their medication through the home delivery program.
If you don't have an account you can create one here; or if you prefer signing up by phone please call 1-877-262-3390 and provide the representative with:
- Your sponsor's ID number.
- Your doctors contact information including name, phone number and fax number.
- The name and dosage of the medications you currently take. (This info is found on your medication container.)
Through the TRICARE Pharmacy Home Delivery program medications can be mailed to:
- All addresses within the United States
- U.S. Territories
- Temporary Addresses
- APO/FPO Addresses
1. Medication that needs refrigeration cannot be mailed to APO/FPO addresses.
2. Medications cannot be mailed to private foreign addresses. (If you're assigned to an Embassy and do not have an APO/FPO address you must have your medication shipped to the Embassy address.)
After you've enrolled in the TRICARE Pharmacy Home Delivery program and received your initial medication you'll be eligible for prescription refills. When you need your prescription refilled you have the option of selecting automatic refills or if you prefer, you can choose to refill your prescription by:
When utilizing this option make sure and have the following items readily available:
- Sponsors ID number
- Prescription number(s)
- Your credit card
If you haven't already done so, go to the Express Scripts Web site and activate your account.
For accounts that are already activated, simply place your refill request. (Another great feature of this Web site is that you can check the status of your order at any given time.)
3. By Mail
Complete the Prescription Refill form that Express Scripts provided with your first order. Once the form is filled out, mail it along with your payment (if any) to:
Express Scripts, Inc.
P.O. Box 52150
Phoenix, Arizona 85072-9954
Note: Don't forget to include your prescription number on the refill form.
Home Delivery isn't Always Feasible
Sometimes it's simply not feasible to wait two weeks for medications such as antibiotics or pain medicine to arrive via the home delivery program. Prescriptions for these particular types of medications or any others that you need ASAP should be filled at a Military Treatment Facility or retail pharmacy. When in doubt, ask your health care provider.
Further information about the TRICARE Pharmacy Home Delivery program can be found at:
Download TRICARE Pharmacy Program Handbook.