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  • Tricare Other Health Insurance Form - Express Scripts

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Hat you have other health insurance (OHI). Under your TRICARE plan, you re required to provide full disclosure of OHI; doing so helps to protect the benefit for everyone. Be advised that it s a violation of federal law to fill a prescription only through TRICARE when OHI is in place for you. To avoid delays and complications in processing your benefits, please complete the form on the other side of this letter and return it to: Express Scripts P.O. Box 60903 Phoenix, AZ 85082-0903 You.

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Accredo is the primary in-network retail pharmacy option for TRICARE beneficiaries filling specialty medications. Accredo is an industry leading specialty pharmacy that offers expanded services at no additional cost beyond your TRICARE cost-share.

When you fill a prescription at a network pharmacy, tell your pharmacist you have TRICARE coverage in addition to your OHI. Your pharmacist can electronically submit your prescription to both plans at the same time.

The TRICARE Pharmacy Program provides the prescription drugs you need, when you need them, in a safe, easy, and affordable way. TRICARE's prescriptions are managed through the pharmacy contractor, Express Scripts.

TRICARE has partnered with Express Scripts, Inc. to offer a robust pharmacy benefit. TRICARE covers most prescription drugs approved by the U.S. Food and Drug Administration.

Your prescription copayments vary based on where you fill your prescription and on the drug category they are in. If you are an active duty service member (ADSM), you will continue to have $0 copays for covered drugs at military pharmacies, retail pharmacies and home delivery through Express Scripts Pharmacy.

Express Scripts® Pharmacy serves over nine million active duty service members, military retirees and their families. Get your medications delivered when and where you need them. Have questions? We're available 24/7 to help.

Active Duty is $0 copayment for formulary drugs.

TRICARE provides prescription drug coverage with most TRICARE health plans. If you use the US Family Health Plan, you have a separate pharmacy coverage.

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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232