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"Starting this spring, more than 400,000 military retirees and senior dependents in the Tricare for Life program will owe the full amount for certain prescription refills if they use a retail pharmacy rather than a military pharmacy or a mail service.
The change, part of a pilot program created by Congress, is meant to help control the cost of military health care and in its first year, is expected to cut $120 million from the $3.3 billion that the U.S. Department of Defense pays annually for Tricare For Life pharmacy needs.
The government insurance serves about 2 million military retirees and their dependents over 65, supplementing Medicare. Tricare for Life accounts for nearly half of the $7.1 billion that the Defense Department spends each year on its pharmacy program.
The pilot includes more than 400 medications – mostly brand-name – for chronic conditions, such as high blood pressure, diabetes and asthma. Prescriptions for pain relievers, antibiotics and other medicines for acute conditions aren’t affected.
With the program, members can fill eligible prescriptions three times at a retail outlet, usually a 30-day supply for a $17 copayment. Then, if they don’t switch, they’re responsible for the drug’s entire cost for subsequent refills, charges that quickly could climb into hundreds of dollars.
If they do switch, they’ll owe $13 for each 90-day supply through the Express Scripts mail service or nothing when they use a base pharmacy."
"Starting this spring, more than 400,000 military retirees and senior dependents in the Tricare for Life program will owe the full amount for certain prescription refills if they use a retail pharmacy rather than a military pharmacy or a mail service.
The change, part of a pilot program created by Congress, is meant to help control the cost of military health care and in its first year, is expected to cut $120 million from the $3.3 billion that the U.S. Department of Defense pays annually for Tricare For Life pharmacy needs.
The government insurance serves about 2 million military retirees and their dependents over 65, supplementing Medicare. Tricare for Life accounts for nearly half of the $7.1 billion that the Defense Department spends each year on its pharmacy program.
The pilot includes more than 400 medications – mostly brand-name – for chronic conditions, such as high blood pressure, diabetes and asthma. Prescriptions for pain relievers, antibiotics and other medicines for acute conditions aren’t affected.
With the program, members can fill eligible prescriptions three times at a retail outlet, usually a 30-day supply for a $17 copayment. Then, if they don’t switch, they’re responsible for the drug’s entire cost for subsequent refills, charges that quickly could climb into hundreds of dollars.
If they do switch, they’ll owe $13 for each 90-day supply through the Express Scripts mail service or nothing when they use a base pharmacy."