When you take more than one medication at the same time, they can sometimes affect each other. If that occurs, it is called an interaction. Medications can interact in many different ways. For instance, medication interactions can:
Some interactions can be minor, but others can be serious or even life-threatening. Here are a few ways you can help decrease your risk for medication interactions:
Fill out the Health, Allergy & Medication questionnaire to alert us to any known drug interactions you might have.
To reach the questionnaire:
TRICARE beneficiaries can make a COVID-19 vaccination appointment at a military hospital, clinic, or vaccination site. The availability of the vaccine may vary by location. Beneficiaries can also get vaccinated at any participating local pharmacy, at their civilian provider’s office, or at a vaccination site through their local or state health department.
COVID-19 Resources covid-19, vaccine Tips for using prescription medication safelyHere are a few safety tips for taking prescription medications:
Do:
Don't:
Federal, state and local governments and public health officials manage the distribution of the COVID-19 vaccines. According to the Centers for Disease Control and Prevention (CDC), COVID-19 vaccines will be made available in three phases. You can contact your local health department for more information on COVID-19 vaccination in your area. Learn more about the TRICARE COVID-19 vaccine program.
COVID-19 Resources covid-19, vaccine How can I get a prescription order form?After you log in, go to Benefits and select Print Forms.
Or, call us toll-free at 1-877-363-1303. Choose to leave your name and address, and we’ll mail an order form to you.
Getting Your Medication Can I get oral antivirals at a pharmacy that is not included in the TRICARE pharmacy network?Yes. At this time, TRICARE beneficiaries can get oral antivirals at any local pharmacy where they are available, even if the pharmacy is not a part of the TRICARE pharmacy network.
COVID-19 Resources Where can I find details about a specific medication I ordered?To find information about a specific order:
1. Log in and go to Prescriptions and select Order History.
2, Scroll down to the Search for order box at the bottom of the Recent Order Status screen.
3. Enter any of these details to search for your medication:
Because medication prices change daily, we may not be able to show payment details until after we’ve processed and shipped your order. We charge you the price of your medication on the day we ship your order.
My Open Prescription Orders What is the FDA’s Emergency Use Authorization process?It is likely several vaccine candidates with be submitted for approval utilizing the FDA’s Emergency Use Authorization (EUA) application. This pathway was originally created after 9/11 to make sure that lifesaving therapies could be available earlier for vulnerable patients.
COVID-19 Resources vaccine, FDA How do I pay for my medicationYou can make a payment online, through the mail, or by phone. We accept the following forms of payment:
Send your payment to this address:
Express Scripts PO Box 52150, Phoenix, AZ 85072-2150
Prices & Paying for Medication Who should get the vaccine?The CDC recommends the COVID-19 vaccine for all people ages 6 months and older, and boosters for everyone 5 years and older, if eligible.
COVID-19 Resources What is the TRICARE Formulary?The TRICARE Formulary is a list of brand-name and generic drugs available through the TRICARE pharmacy benefit. Some drugs are covered but not preferred, and are categorized as Non-Formulary. These drugs have a higher copayment and generally are only available via home delivery.
You can use the TRICARE Formulary Search Tool to search for specific drugs and to see whether they are available through the TRICARE pharmacy benefit and if they are, what you will pay. The TRICARE Formulary Search Tool will also advise as to any quantity or day supply limitations associated with the drug in question.
Prescription Plan Rules & Coverage Are COVID-19 vaccines covered for TRICARE beneficiaries?COVID-19 vaccines are covered through the TRICARE pharmacy benefit. At this time, there is no cost to TRICARE beneficiaries getting a COVID-19 vaccine.
COVID-19 Resources covid-19, vaccine Where can I fill my prescription for oral antivirals?You can fill your prescriptions for oral antivirals at local retail pharmacies or military pharmacies. Make sure to call your pharmacy to make sure oral antivirals are available at that location.
COVID-19 Resources What are the differences between the leading vaccine candidates?There are three main platforms that vaccine manufacturers are using to develop COVID-19 vaccines. A central theme is that all vaccine candidates are focusing on developing immunity to the “S protein,” a component of the COVID-19 virus that is critical to allow itself to attach to receptors within our body and infect our cells. By developing vaccines that promote an immune response in our body against this specific protein, the available clinical trial data has shown encouraging results in preventing significant disease and/or transmission. Another difference between the candidates is differing storage requirements which could vary from simple refrigeration to deep freezing.
COVID-19 Resources What is two-step verification?Two-step verification keeps your account safe by adding more security. When you log in to your account, you’ll need your username, password, and a single-use code that we’ll send to your registered email or mobile phone number.
Two-step verification MFA, multi-factor authentication, multi factor authentication, authentication, verify, code Understanding key pharmacy terms and abbreviationsUnderstanding your TRICARE pharmacy benefit is important. To make the most of your TRICARE benefit, it is essential to understand some key pharmacy terms.
Common Terms Are oral antivirals covered for TRICARE beneficiaries?Yes. Oral antivirals are covered at no cost to eligible TRICARE beneficiaries when prescribed by a TRICARE-authorized provider.
COVID-19 Resources Can I get generic medicines in the same quantity and dosage as my brand-name drugs?Yes. When a brand-name drug has a generic version, you can get it in the same quantity and dosage that your plan’s rules allow.
Taking Medications Why should I get vaccinated?Immunizations, more commonly referred to as vaccines, help protect you, your family and friends, and the community from contracting and spreading vaccine-preventable diseases like seasonal flu, whooping cough, measles, shingles, pneumonia, and COVID-19. According to the Centers for Disease Control and Prevention (CDC), vaccinations not only protect us from seasonal illnesses like the flu, but they protect us in the future. Vaccinations are one of the best ways to put an end to serious side effects from certain diseases. Additionally, COVID-19 vaccines are one of many important tools to help us take control of this pandemic.
Find out more about the importance of vaccines at www.cdc.gov/vaccines/vac-gen/vaxwithme.html.
COVID-19 Resources How do I order a refill for a medication I get through delivery?To order a refill, log in to your account and go to Refill Prescriptions under Prescriptions in the main menu. Choose your available medication and place your order.
You can also order refills through the Express Scripts® mobile app.
Our refill policies allow you to refill your medication when 25% of your current prescription is remaining. This helps to make sure your new supply is delivered before you run out of medication.
Getting Your Medication Are at-home tests covered for TRICARE beneficiaries?You’ll have to pay the applicable TRICARE cost-share for any FDA-approved at-home COVID-19 test. To be covered, it must be ordered by a TRICARE-authorized provider for a medically necessary purpose, such as exhibition of symptoms. The federal government is no longer offering free at-home tests as of May 11, 2023.
COVID-19 Resources What should I do if my medication is not on the Uniformed Services Formulary?If your medication is not on the Uniformed Services Formulary, you will be charged the non-formulary price unless your doctor’s medical necessity waiver is approved. Download the form for your medication and your doctor can complete and submit it to us.
Prescription Plan Rules & Coverage Is the COVID-19 vaccine safe?All three vaccines authorized for emergency use by the Food and Drug Administration (FDA) have been thoroughly tested and found to be safe and effective in preventing COVID-19. They continue to undergo intense safety monitoring. Learn more about COVID-19 vaccine safety.
COVID-19 Resources How does a copayment or coinsurance affect the price I pay for medication?A copayment (copay) or coinsurance is the portion of the total medication cost that you pay. Your prescription plan pays the rest of the cost. Here’s how these can affect the cost of your medication:
You can learn more about terms like deductible, copay, and coinsurance in Common Terms.
Prices & Paying for Medication Can I get the COVID-19 vaccine at a pharmacy that is not included in the TRICARE pharmacy network?Yes. At this time, TRICARE beneficiaries can get vaccinated at any local pharmacy offering the vaccine, even if the pharmacy is not a part of the TRICARE pharmacy network.
COVID-19 Resources covid-19, vaccine What do I need to know after my first dose of the vaccine?If you have already received your first dose of the COVID-19 vaccine, you can register for the Center of Disease Control (CDC) v-safe SM After Vaccination Health Checker. Using your smartphone, you can easily report side effects and even get reminders if you need a second vaccine dose. Remember, getting the vaccine doesn’t replace taking the necessary precautions such as wearing a mask, hand washing, and social distancing. For a full list of COVID-19 safety requirements, visit the CDC's vaccine information page.
COVID-19 Resources How can I get the COVID-19 vaccination at a retail pharmacy?TRICARE beneficiaries can get the COVID-19 vaccine at any retail pharmacy that is offering the vaccine, even if the pharmacy is not a part of the TRICARE pharmacy network. This only applies to the COVID-19 vaccine. Other vaccines are not covered at out-of-network pharmacies.
Make sure to bring your military ID, which includes your health insurance information when you get the COVID-19 vaccine.
COVID-19 Resources covid-19, vaccine What is a “controlled substance” and why does this limit refills?This term is used for medications that are restricted by law because they carry a high risk for causing harm. The Controlled Substances Act defines which medications are Controlled Substances, including opioids and certain stimulants. You can find out more about this term at the National Cancer Institute website.
There are a few reasons why there might be limits for refills of these medications:
At this time, the answer is unclear. Viruses tend to mutate over time, and we do not yet completely understand how long vaccinations may provide protection from COVID-19 infection. This is a matter that will continue to be studied by the medical and scientific community.
COVID-19 Resources What is the Express Scripts® mobile app and where can I download it?The Express Scripts mobile app offers a free and easy way to access and manage your prescriptions from your mobile device. To download it, search for Express Scripts in your app store.
Account Management & Preferences How can I get the COVID- 19 vaccination at a local pharmacy?Follow these steps to get vaccinated at your local pharmacy.
If we ship your order in more than one package, we’ll tell you why on each invoice. Here are two reasons your order might come in more than one package:
COVID-19 tests are not covered under your TRICARE pharmacy benefit. However, TRICARE does cover COVID-19 tests at no cost through your medical insurance plan, when ordered by a TRICARE-authorized provider. The test must be FDA-approved (including emergency use authorization).
Full coverage details are available at www.tricare.mil/coronavirus.
COVID-19 Resources covid-19, vaccine How do I find local pharmacies covered by my plan?You can use the Express Scripts app on your mobile device for turn-by-turn directions to the pharmacy you choose.
Prescription Plan Rules & Coverage How do I set up my delivery order online?To get your maintenance medication delivered, you’ll need to:
If you don't see your medication listed on the Pharmacy Options screen:
Setup is simple. You’ll need to use the email registered to your account. We’ll send a code to confirm you have access to your registered email.
Follow these steps:
Once you've accessed your account, you can choose to add text messages as an option for two-step verification. Go to Two-Step Verification under Account to set this up.
Two-step verification MFA, multi-factor authentication, multi factor authentication, authentication, verify, code How should I dispose of extra medication I no longer use?Do:
Do Not
This is any serious reaction that happens during or after treatment with a medication. An adverse event can be moderate to severe (such as a heart attack or an allergic reaction to the medication). It can be harmful if it’s not managed right away, and might involve stopping treatment with the medication. The medication label and/or the paper inserts that come with the medication list adverse events. Always talk to your doctor or pharmacist if you are concerned you’re having an adverse event caused by your medication.
Taking Medications Where can I see if I have prescriptions ready to refill or renew?Log in to your account, and go to Refill Prescriptions under Prescriptions. If you don’t see the prescription you’re looking for, you can search for it by going to Find a prescription not listed below.
Getting Your Medication What should I do if my order didn’t arrive?Most deliveries arrive within a couple of days, however some may take three to four days to ship. Log in to find out when we shipped your order. Then, go to Prescriptions and select Order History. Check Recent Order Status to track your order.
If it’s been more than five days since your order shipped and you haven’t received your medication, please contact us.
My Open Prescription Orders If I have other health insurance (OHI), can I use TRICARE retail network pharmacies?Yes. When you fill a prescription at an in-network retail pharmacy, tell the pharmacist if you have TRICARE coverage in addition to your OHI. Your pharmacist will submit your prescription to both insurance plans at the same time. Letting your pharmacist know you have two prescription plans means:
To get reimbursed by TRICARE:
Express Scripts Inc.
Phoenix, AZ 85082
Prescription Plan Rules & Coverage What is the Prescription Monitoring Program?The Prescription Monitoring Program (PMP) helps prevent or decrease the risk of possible overuse of harmful medications.
Beneficiaries who are placed on the PMP by their TRICARE Managed Care Support Contractor are required to obtain controlled medication from one provider. Upon enrollment, a letter will be sent requesting the selected provider. Beneficiaries may request changes to their authorized provider by sending a request to Express Scripts.
Beneficiaries placed in the PMP by their Military Treatment Facility will be assigned an authorized provider and/or pharmacy by a program point of contact at the facility. Contact your provider or primary care manager for assistance. Contact us for additional help.
Mail: Express Scripts
Prescription Monitoring Department
St. Louis, MO 63121
Taking Medications Why do I have to set up two-step verification?Two-step verification is required to log into express-scripts.com, militaryrx.com, and the Express Scripts ® mobile app. It adds an extra layer of security to protect personal and health-related data from unauthorized access. We added this feature to keep your account safe.
Two-step verification MFA, multi-factor authentication, multi factor authentication, authentication, verify, code Do you always substitute a generic medicine for a brand-name drug?No. Not all brand-name drugs have generic versions, and there may be situations where your doctor wants you to take the brand-name version only. When writing your prescription, your doctor will indicate if a generic version is OK.
Taking Medications How do I send you a new prescription to get my long-term medication delivered?If you need a new prescription, ask your doctor to send it to us:
If you already have a written prescription, log in to your account. Then go to Benefits and select Print Forms. Select the link Print a mail order form to find the Home Delivery Order Form. You can ask your doctor to submit this form to us, or you can print and complete the form, then mail the form and your prescription to the address listed on the form. Make sure your prescription is written for up to a 90-day supply and it shows that you want delivery.
Getting Your MedicationHow do I find out if the medication I need has any restrictions, is on the Uniformed Services Formulary, or requires a Prior Authorization (PA)?
Use the Formulary Search Tool to find out about the medication you need:
The results will give you details about the medications covered, strength, form, whether there’s a generic option, and whether there are any restrictions or extra requirements.
Prescription Plan Rules & CoverageWhy is there sometimes a difference between the price shown on your site for amedication and what I actually pay at that pharmacy?
Sometimes there might be a difference between a price quoted online for a prescription you can pick up from a local pharmacy in your network and what you actually pay at that pharmacy. Here are a few reasons why this might happen:
If you don’t have any remaining refills for a prescription, contact your doctor. Your doctor might order some tests or ask to see you before renewing your prescription. Some states have rules that require you to visit your doctor or pharmacist before getting refills.
To find out if you have refills left on your prescription check the prescription label for refills remaining. You can also log in, go to Prescriptions and select Order History to see if you have more refills. And the Express Scripts mobile app shows refills remaining.
Taking Medications Where can I dispose of extra medication I no longer use?We ship your medication in a tamper-proof, weather-resistant package. If your medication is sensitive to extreme hot or cold weather, we ship it in a temperature-controlled package.
Standard shipping is part of your plan's benefit at no extra cost to you. You can get next-day or two-day shipping for an extra fee.
We ship most medication through the U.S. Postal Service. We use United Parcel Service (UPS) to ship certain controlled substances.
*We can’t ship refrigerated medications to APO/FPO/DPO addresses
We do not ship orders to private foreign addresses.
Getting Your Medication Are there any differences in my benefits if I choose delivery or a local pharmacy?You can choose how to get your maintenance medications. Most plans allow you to choose to get your medications from a Military Treatment Facility, a retail network pharmacy, or through TRICARE Home Delivery Pharmacy Program. But, some plans require you to use delivery for certain medications. We’ll alert you if your medication has restrictions on your pharmacy location.
Express Scripts Pharmacy® offers delivery of up to a 90-day supply of your medication to any location. You can track your order online or through the Express Scripts mobile app. We also offer an optional 3-month payment plan. And, you have access to an Express Scripts pharmacist at any time, 24/7.
Prescription Plan Rules & Coverage How do I know if I can get my medication delivered?We deliver certain maintenance medications. To see if you can choose delivery for your medication, log in to your account and go to Prescriptions, then select Pharmacy Options. You’ll see any prescription medications you can have delivered, along with price comparisons for local network pharmacies and home delivery.
Getting Your Medication What is a Limited Distribution Drug (LDD)?A limited distribution drug is created when a pharmaceutical manufacturer decides to limit the number of specialty pharmacies that have access to a particular specialty medication.
Accredo is a leader in limited distribution drug access but does not have access to all limited distribution drugs, so you must use another pharmacy to access the drug. You can check to see if you are taking a LDD by visiting the Formulary Search Tool.
Getting Your MedicationI have met my catastrophic cap requirement for the year. Will I still be charged a copay for a medication that isn't on the formulary?
No. After your cap is met, no copayments will be charged for your medications until the following fiscal year (beginning January 1).
Prescription Plan Rules & Coverage What is a “side effect?”A side effect is a new symptom that occurs when you take a medication, either because of the medication or because of the way you take it (such as by injection, IV, by mouth, or by patch). The label on your medication and the paper insert that comes with the medication will list common side effects.
Common side effects for many medications include feeling sleepy, gaining weight, coughing, or having stomach or bowel problems. Most side effects often are not serious, but you should always talk to your doctor or pharmacist if you have questions or concerns about your medication’s side effects.
Taking Medications Does everyone in our household need to have a unique login ID to manage our medications online?Yes, every person who has pharmacy benefits through TRICARE, including every child, must have a separate account with a unique username and password.
Create an account for each member and make sure you record their unique username and password in a safe place. Adults can set up accounts for minors who do not manage their own medications, but minors will still need their own username and password.
Account Management & Preferences Where can I track my order?You can view the status of your order on Recent Order Status. Please note: It might take a few hours for a new order to appear.
1. Log in and go to Prescriptions, then select Order History.
2. The Recent Order Status screen shows you:
To find an order that’s older than 120 days:
You may also receive communications regarding your order status, such as when your order is processing, shipped, and delivered.
My Open Prescription Orders Can I get my medications by home delivery if I have other health insurance?In general, no. You can use TRICARE home delivery only if:
If you meet one of these three conditions, here’s how to submit your prescription to for home delivery:
Phoenix, AZ 85072-9954
Prescription Plan Rules & Coverage I had to leave my normal delivery location. How can I get my medication delivered to me?Express Scripts often pauses shipments into areas where natural disasters make delivery difficult or impossible. But, you can still get your medication delivered to where you are.
Prepare for a natural disaster:
Log in and use the find a pharmacy tool to find a new local, in-network retail pharmacy in your area. There are two easy ways to move your prescription:
Order status is available once your prescription has been received. It may take a few hours for a new order to appear.
You can view the status of your order online. Log in to your account then, go to Prescriptions and select Order History . Check Recent Order Status to track your order.
1. Log in and go to Prescriptions, then select Order History .
2. The Recent Order Status screen shows you:
To find an order that’s older than 120 days:
Enter the details about your medication in the Search for order box.
My Open Prescription Orders Who is Accredo?Accredo® is an accredited specialty pharmacy serving patients with complex and chronic health conditions. Accredo provides specialty pharmacy services, such as scheduled medication delivery and refill reminder calls. You will be able to get advice from staff trained in your condition throughout your medication therapy. Accredo specialty pharmacy services are available to you at no additional cost beyond your TRICARE cost-share.
Accredo operates as a home delivery pharmacy and supports beneficiaries filling eligible specialty drugs at TRICARE Home Delivery. Accredo also operates as an in-network retail pharmacy and can support beneficiaries filling certain specialty drugs that are not available at TRICARE Home Delivery or a military pharmacy. This means your cost-share may sometimes be different when you fill at Accredo because, depending on the drug, you could be filling your prescriptions at two different points of service – TRICARE Home Delivery and an in-network retail pharmacy.
To see where you can fill your specialty drug and the associated cost-share, visit the TRICARE Formulary Search Tool.
Specialty Pharmacy Services What do I do if my specialty medication is not available at TRICARE Home Delivery?Your drug may still be available at participating in-network retail pharmacies or at a military pharmacy. To see where you can fill your specialty drug and the associated cost-share, visit the TRICARE Formulary Search Tool.
Specialty Pharmacy Services Who determines what a specialty medication is under the TRICARE pharmacy benefit?TRICARE, through the Department of Defense Pharmacy & Therapeutics Committee process, defines what is considered a “specialty medication” and maintains the specialty drug list.
Specialty Pharmacy Services Who is Express Scripts Pharmacy?Express Scripts Pharmacy is a home delivery pharmacy that provides pharmacy services when you fill eligible medications at TRICARE Home Delivery. You can get up to a 90-day supply of your medication delivered to your door when you fill at Express Scripts Pharmacy. To see where you can fill your specialty drug and the associated cost-share, visit the TRICARE Formulary Search Tool.
Specialty Pharmacy Services Where can I fill my specialty medications?TRICARE covers specialty medications through TRICARE Home Delivery, in-network retail pharmacies, and military pharmacies (if available). To see where you can fill your specialty drug and the associated cost-share, visit the TRICARE Formulary Search Tool.
Specialty Pharmacy Services What is the relationship between Express Scripts and Accredo?Express Scripts, Accredo and Express Scripts Pharmacy are distinct entities that operate independently as part of Evernorth Health Services.
To see where you can fill your specialty drug and the associated cost-share, visit the TRICARE Formulary Search Tool.
Specialty Pharmacy Services Can my single-use code be sent to a different email address?After setup, you can change the email address that we send the code to at any time. Log in and go to Two-Step Verification under Account to change your email address. If you can’t access your registered email for the initial setup, please call us at (800) 711-5672. We can change your email address if you no longer have access.
Two-step verification MFA, multi-factor authentication, multi factor authentication, authentication, verify, code What’s the difference between a brand-name medicine and a generic medicine?Generic drugs often are a lower-cost option to brand-name drugs. A generic drug has the same active ingredient as its brand-name version, but might contain different fillers or coatings.
Important things to know about generic drugs:
The Food and Drug Administration (FDA) makes sure all FDA-approved generic drugs are as safe and effective as the brand-name medication.
Taking Medications If I’ve been filling a long-term medication at a local pharmacy, can I get it delivered instead?Yes. If your plan covers delivery, you can get certain maintenance medications through the TRICARE® Home Delivery Pharmacy Program. To set up delivery:
To view your coverage information, log in:
To review how much you spend on prescriptions every year, first log in and then:
You can use this information for your tax records.
To view details about mail order payments, choose Mail order payments. You’ll see details for items you’ve purchased in the last 24 months, such as date of purchase and amount charged.
To view details about claims reimbursements, choose Claims reimbursement. Then, choose the Change date range link to select the claims you want to view.
Prices & Paying for Medication How do I get specialty medication?Accredo is the primary in-network pharmacy option for TRICARE beneficiaries filling specialty medications. With Accredo, you will have 24/7 access to personalized care and support from specialty-trained pharmacists and nurses. To move your prescriptions to Accredo, call 1.877.882.3324 and an Accredo patient care advocate will work with you and your doctor. Visit accredo.com/dodspecialty for more information.
You may also choose to fill your specialty medications at home delivery through Express Scripts® Pharmacy, military pharmacies and in-network retail pharmacies. Be sure to contact your pharmacy of choice to ensure they carry your medication. Visit the TRICARE formulary search tool to see where your specialty medications are covered.
Getting Your Medication Can I use text messages for two-step verification instead of email?Two-step verification via text message is now available. At this time, you are still required to use your registered email to set up two-step verification the first time. After this initial setup, you can choose to add text messages as a two-step verification method, and then you’ll be able to choose which contact method you want to use during each login.
Two-step verification MFA, multi-factor authentication, multi factor authentication, authentication, verify, codeWhere can I find more details (such as refills remaining) for medications I purchased through TRICARE home delivery that I no longer take?
You can view up to 18 months of orders you’ve purchased either through delivery or at a local network pharmacy.
Herbal products are made from plants. The FDA (US Food and Drug Administration) does not inspect or assess these products before they come to market, but they can track claims about the product’s safety or usefulness after it’s on the market. The FDA can take action against a product maker, if the product puts people at risk for illness or injury. Some herbal products can be potent. They can cause side effects or can interact with prescription or OTC drugs. Always tell your doctor or pharmacist if you’re taking herbal products, and keep a list of those products with your list of medications.
Taking Medications How will I know when my next auto refill is coming?Express Scripts will ask you to approve each refill before we ship it. This will help make sure you only get the refills you need.
How to approve your refill for your medication:
How to Provide Consent for Automatic Refills as a TRICARE Beneficiary Video
Getting Your Medication What is a Network Pharmacy and how does it affect my prescriptions?A network pharmacy is a pharmacy that accepts TRICARE copayment. TRICARE will pay for part or all of your medication’s cost from a network pharmacy. Military Treatment Facilities and Express Scripts Pharmacy® are network pharmacies. But, not all retail pharmacies are network pharmacies.
Beneficiaries can file a claim for a partial reimbursement of the cost of their medication when filling at a non-network pharmacy. Learn more.
Prescription Plan Rules & Coverage I have my medication delivered, can I still talk to a pharmacist at any time?Yes. Your Express Scripts pharmacist is available 24 hours a day and can answer questions about your medication.
We also have licensed pharmacists with specialized knowledge about certain conditions. You can talk with a specialized pharmacist about:
To submit a pharmacy claim online, log in to your account and navigate to the ‘Benefits’ menu option and select ‘Forms’.
Be sure to have your prescriber information handy, a photocopy of your pharmacy receipt and the phone number for the pharmacy you filled your prescription.
Prescription Plan Rules & Coverage How long should I keep taking this medicine?Try to stay on track with your medicine for as long as your doctor tells you — even if you begin feeling better. Stopping your medicine too early can lead to health problems, so it’s helpful to talk to your doctor, first.
Tips for talking to your doctor
It’s always helpful to ask questions when you talk with your health providers. But it’s also easy to forget what to ask! Here are 3 key questions to ask at doctor visits that can help you get the most from your visit.
If you need to manage medications for someone who is a TRICARE member not covered by your plan, then that person must create an account and give you access to their account by making you their Caregiver.
To add a Caregiver, the TRICARE member can:
Before we can fill any new prescription, we must first check that:
These checks may take a few days. If we expect a longer delay, we’ll send a message to let you know.
In rare cases, we aren’t able to fill your order. If this happens, we’ll return your original, unfilled prescription to you as soon as possible and explain why we couldn’t complete your order.
My Open Prescription Orders How does my TRICARE pharmacy benefit work with my other health insurance?By law, your other health insurance (OHI) must be the primary payer for your prescriptions and TRICARE is the secondary payer. TRICARE becomes the primary payer only when:
If a state of emergency has been declared where you live, we will help you get the medication you need.
If you need an emergency medication, we work with your health plan, employer, or plan sponsor to get it to you quickly. We might allow a refill before your next refill date, replace a lost or damaged medication, or give you access to another pharmacy network where you can temporarily use your benefits.
Download our mobile app for easy access to help information at the time of the emergency. You can also use our website or mobile app to find a nearby network pharmacy.
Getting Your Medication How do I transfer a prescription to home delivery?For medications you take on a regular basis, home delivery is a convenient option. Here are three simple ways you can move your eligible prescriptions:
Entering a new code each time during login helps us to make sure someone is not trying to access your account without your consent.
If you are using a trusted device (like a personal computer or smart phone), you can verify your device and browser for six months. This way, you won’t have to enter a code each time you log in. To verify your device, select the checkbox "Remember my login information" on the screen where you enter your username and password.
If you use a different device or browser, you’ll have to verify again.
Please note that the "Remember my login information" option is not currently available for single sign-on (SSO) or mobile app users, but we are working to add this feature as soon as possible.
Two-step verification MFA, multi-factor authentication, multi factor authentication, authentication, verify, code Should I take my medicine on an empty stomach or with food?This differs for every medication. Read the medication label and the information that comes with your medication to find out more. You also can ask your doctor or pharmacist about the best way to take your medication.
Taking Medications Does my prescription change if I get my medication delivered?Yes, your prescription will change a little bit. Your written prescription must show that your medication will be delivered, and that you will receive up to a 90-day supply with each refill.
Getting Your Medication Where can I find a summary of my prescription plan coverage?Go to Benefits and select Benefits Overview. Then, choose the links for the benefits you’d like to review.
If this information seems different from what you expected, check your plan's benefits on the TRICARE website.
Prescription Plan Rules & Coverage Can I set up automatic payments for my payment method?To set up Autopay for your account:
Prior Authorization Form: Your prescription may need prior authorization to assure appropriate use for high-risk or high-cost drugs. Prior Authorization criteria are used to make sure your medication is safe, cost effective, and medically necessary.
Your doctor may need to fill out a prior authorization if your drug is generally used for a certain health condition, has the potential to be misused, or has an age or quantity limit.
Medical Necessity Form: Your doctor can complete a medical necessity form if you take non-formulary drugs, which are often a higher cost. If your doctor can establish medical necessity for these drugs, you can get the drug at the formulary (brand) copayment.
Brand Name Request Form: A generic drug contains the same chemical as the brand-name drug but has a lower copayment. If your doctor determines it is medically necessary for you to take the brand-name drug over the generic version, your doctor can request through the Brand Name Request Form. You may pay additional costs for the brand-name drug.
Prescription Plan Rules & Coverage What if my single-use code isn’t working?Each time you restart the login process or request a new code, all previous codes become invalid. To make sure that you’re entering the most recent code, try these steps:
For your single-use code to work, you must keep the two-step verification page open on your browser. If you leave the page and then log in again, you will need a new code.
Two-step verification MFA, multi-factor authentication, multi factor authentication, authentication, verify, codeWhere can I find payment and invoice details for medications I purchased through TRICARE Pharmacy Home Delivery in the past 120 days?
To view prior claims, you will need to log in. Then, go to Prescriptions and select Order History. On the Recent Order Status page you can search for orders placed in the last 120 days.
Past Orders & Records General safety tips for using over-the-counter medicines.To start automatic refills (auto refill):
By phone
Call Express Scripts at (877)363-1303 to speak with a patient care advocate.
Getting Your Medication How do I get reimbursed if I am a National Guard or Reserve member?National Guard and Reserve members with line-of-duty care should contact the Military Medical Support Office at (888)647-6676.
To find the claim form:
Yes. You can get your medication one of three ways: through Express Scripts Home Delivery, at a Military Treatment Facility (MTF), or at a local retail network pharmacy. If you get a long-term medication through delivery, you can still pick up short-term prescription medications at an MTF or a retail network pharmacy.
Not all MTFs provide pharmacy services. Check with your local MTF before you go to pick up your medication.
Getting Your Medication Do I need to change my lifestyle when taking my medication? Are there any activities I should avoid?With some types of medication you might need to make changes, such as staying out of the sun, avoiding certain foods, or not driving. Ask your doctor or pharmacist to explain if your medication requires you to make such changes. And, always read the medication labels — these explain key things you need to know.
Taking Medications Can I change the way I get messages about my account and medications?Yes, you can choose to have messages about your medications and benefits emailed to you. If you change your mind, you can always switch back to print communications.
To change the way you get your messages:
Yes, you can cancel your order if the order is for a refill and the order status is still “pending.”
To find out if your order is pending:
1. Log in to your account and go to Prescriptions, then select Order History to find your pending prescription order. If your order hasn’t shipped, you can click Cancel prescription.
Orders for new or renewed prescriptions cannot be canceled through the member website. If you need to cancel one of these orders, please contact us.
If you want to re-order a medication that you canceled, you might have to get a new prescription from your doctor.
My Open Prescription Orders Do I have to notify Express Scripts if I have other health insurance (OHI)?Yes. This is required under your TRICARE plan. There are two options to submit information about your OHI:
If you have questions about the form, please call Express Scripts at (877)363-1303.
Prescription Plan Rules & Coverage How long will it take to get my medication delivered?Our goal is to have your medications delivered to you 4 days after we receive your prescription. If this is our first time filling that prescription for you, it might take a bit longer.
Tips for quick refills and delivery:
Notes about shipping:
To help keep your account secure, your single-use code will expire after a specific amount of time. Your code will expire after 15 minutes if it was sent via email or 5 minutes if it was sent via text message. This is to make it harder for an unauthorized user to access your account without your consent.
First, make sure you are only entering the most recent code that was sent. Each time you restart the login process or request a new code, all previous codes become invalid.
If your code is still arriving too late, please call our web support team at (800) 711-5672 for help.
Two-step verification MFA, multi-factor authentication, multi factor authentication, authentication, verify, code What happens if I miss a dose of medicine?It’s important to take your medication as prescribed by your healthcare provider. If you skip a dose or wait too long between doses, the amount of medication in your body can decline and not work as well. If you take your medication too often, the amount in your body could get too high, which could cause problems. If you miss a dose, read the information that comes with the medication or ask your doctor or pharmacist what to do after a missed dose.
Taking Medications What information needs to be on my written prescription?Your prescription should include your name and the other standard information provided by the doctor.
To help us fill your prescription safely and quickly, please add these details to the back of your prescription:
The estimated shipping and delivery dates can change if you update the delivery method or address while a prescription is being processed, or we need to process your prescription in a different way than expected.
To see the most current information about your order, log in and go to Prescriptions and select Order History.
My Open Prescription Orders What if I never received my single-use code?If you requested a code via email:
If you requested a code via text:
To view prior claims:
Mail order payments shows all orders through TRICARE Home Delivery Pharmacy Program for the date range you choose.
Claims reimbursement lists any claims reimbursed for the date range you choose.