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ARMED FORCES NEWS
NEW DRUG FORMULARY WOULD ADD $22 CO-PAYS
May 10, 2002


A proposed plan published in the Federal Register would establish a uniform formulary for beneficiaries using military pharmacy services, which would include a co-pay of $22 per prescription for non-formulary drugs. Under the proposed plan, active duty members would continue to get all medicines free. In addition, prescriptions filled on bases would be free. But the retail drug network and the National Mail Order Pharmacy would add a third level of co-payment to the current co-payments of $3 for generic drugs and $9 for brand names. The new level of $22 for non-formulary brands would cover a 30-day supply from network retailers and a 90-day supply from NMOP. For prescriptions filled at non-network pharmacies, the co-pay for a 30-day supply would be 20 percent or $9, whichever is greater, for a formulary drug, and 20 percent or $22 for a non-formulary drug. Until June 11, comments can be mailed to Medical Benefits and Reimbursement System, TRICARE Management Activity, 16401 East Centretech Parkway, Aurora, CO 80011-9066.

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