U.S. Military's TRICARE Health Program Issues Retail Pharmacy Refund Rule for Drug Prescriptions


On October 15, 2010, the U.S. Department of Defense ("DOD") issued a regulation nearly identical to the regulation it issued in March 2009, implementing the Retail Pharmacy Drug Refund Program (the "Program") of TRICARE, the healthcare program serving uniformed service members, retirees and their families.

The regulation governs prescriptions filled on or after January 28, 2008, and paid for under the Program, subject to federal ceiling prices ("FCPs") under 38 U.S.C. ยง 8126. In essence, the regulation provides that manufacturers are responsible for applying FCPs to the Program.

The DOD will administer the Program through a system of manufacturer refunds to DOD.

The statute applies FCPs to all prescriptions filled on or after January 28, 2008.

All covered drugs in the TRICARE Program are subject to FCPs.

Please see full alert below for more information.

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Published In: Health Updates, Insurance Updates, Military Updates

DISCLAIMER: Because of the generality of this update, the information provided herein may not be applicable in all situations and should not be acted upon without specific legal advice based on particular situations.

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