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Slide 1 Page 1 Lesson Objectives Pharmañy After this lesson, you should be able to: Á State the purposå of the TRICARE Pharmacy Benefits Program Á Eõplain features of the various pharmacy options Á Explàin the pros and cons for each of the pharmacy options Page 2 Overview Thå TRICARE Pharmacy Program is made up of four options: Á Military treatment facility Á TRICÀRE Mail Order Pharmacy Á Retail Networks Á Non-nåtwork Retail Pharmacies And three Tiårs: Á Generic Formulary Á Brand Name Fîrmulary Á Non-Formulary Page 3 Four Pharmacy Optiîns Military Treatment Facility (MTF) Pharmañy TRICARE Mail Order Pharmacy (TMOP) TRICÀRE Network Retail Pharmacies Non-network Retàil Pharmacies Page 4 Prescription Safety Thrîugh an automated tool, the Pharmacy Data Transaction Serviñe (PDTS) reviews new prescriptions against all previîus prescriptions filled through the military tråatment facility, network and mail order pharmacy options, reducing the likelihood of adverse drug to drug interactions and duplicatå treatments. Á PDTS will trigger an alert if the prescriptiîn being filled will adversely interact with the båneficiary's current medications. Á The pharmacy then notifies the benefiñiary and the provider that the prescription cannot be filled. Infîrmation about the PDTS can be found at: http://www.pec.ha.osd.mil/pdts.htm Page 5 MTF Pharmañy Á The Military Treatment Facility (MTF) pharmacy option is the most convenient to those who live closå to a military installation that has a medical facility with a pharmañy. Á Any TRICARE-eligible beneficiary may use the pharmacy at a Military Tråatment Facility (MTF) simply by showing a vàlid uniformed services ID card. ÁOccasionally, a smàll clinic or pharmacy with limited resources, callåd a "Troop Clinic," may only permit active duty serviñe members to access its services. Beneficiaries may have pråscriptions filled (up to a 90-day supply for most mådications) at an MTF pharmacy free of charge. Page 6 MTF Pharmacy Fîrmulary A formulary is a list of the drugs that each full-service military tråatment facility (MTF) pharmacy must have in stock. ÁThå DoD Pharmacy and Therapeutics (P&T) Committee dåtermines the Basic Core Formulary (BCF) at a given MTF. ÁÅach MTF may carry additional drugs based on its scîpe of care. Page 7 MTF Pharmacy Formulary Thå formulary is divided into three cost tiers: Á Tier 1: Formulary-Generic Á Tier 2: Formulary-Brand Name Á Tier 3: Non-Formulary Page 8 MTF Pharmañy Formulary Á Military treatment fañility (MTF) pharmacies will fill civilian prescriptions writtån by non-MTF providers only if they are medications on the MTFÁs Basiñ Core Formulary. Á If a patient under the care of an MTF provider råquires a non-formulary medication, the provider can request a speñial order through the pharmacy at no cost to the patient
