TRICARE Uniform Formulary Update Announced
FALLS CHURCH, Va. – The placement of 17 additional, non-formulary (or third tier), medications on the TRICARE Uniform Formulary has been announced by the Deputy Director, TRICARE Management Activity, Army Maj. Gen. Elder Granger. Five of the medications will be effective Oct. 24, 2007, and 12 will be effective Nov. 21, 2007.
The following chart shows the medications and their status as formulary (tier one generics, tier two brand name), or third tier non-formulary and the date the decision will be implemented.
|
Medication |
Tier |
Implementation Date |
|
Antilipidemic Agents (Part 2) |
||
|
Fibric Acid Derivatives |
||
|
Lopid (generics available) |
1 |
** |
|
Triglide† |
1 |
** |
|
Lofibra (generics available) |
1 |
** |
|
Antara |
3 |
November 21, 2007 |
|
Tricor |
3 |
November 21, 2007 |
|
Omega-3 Fatty Acids |
||
|
Omacor |
3 |
November 21, 2007 |
|
Bile Acid Sequestrants |
||
|
Questran (generics available) |
1 |
** |
|
Questran Light, Prevalite (generics available) |
1 |
** |
|
Colestid (generics available) |
1 |
** |
|
Welchol |
3 |
November 21, 2007 |
|
Proton Pump Inhibitors |
||
|
Prilosec (generics available) |
1 |
** |
|
Nexium† |
1 |
** |
|
Prevacid |
3 |
October 24, 2007 |
|
Zegerid |
3 |
October 24, 2007 |
|
Protonix |
3 |
October 24, 2007 |
|
Aciphex |
3 |
October 24, 2007 |
|
5-Alpha Reductase Inhibitors |
||
|
Proscar (generics available) |
1 |
** |
|
Avodart |
3 |
October 24, 2007 |
|
Angiotensin II Receptor Blockers |
||
|
Micardis |
2 |
** |
|
Micardis HCT1 |
2 |
** |
|
Atacand |
2 |
** |
|
Atacand HCT1 |
2 |
** |
|
Cozaar |
2 |
** |
|
Hyzaar |
2 |
** |
|
Avapro |
3 |
November 21, 2007 |
|
Avalide |
3 |
November 21, 2007 |
|
Benicar |
3 |
November 21, 2007 |
|
Benicar HCT1 |
3 |
November 21, 2007 |
|
Diovan |
3 |
November 21, 2007 |
|
Diovan HCT1 |
3 |
November 21, 2007 |
|
Teveten |
3 |
November 21, 2007 |
|
Teveten HCT1 |
3 |
November 21, 2007 |
1 HCTZ – hydrochlorothiazide
† Although a brand-name drug, $3 co-pay recommended by the Department of Defense Pharmacy and Therapeutics Committee
** Does not apply
First-tier medications (formulary generics) are available through a TRICARE Retail Pharmacy for $3 co-pays for up to a 30-day supply,
and through the TRICARE Mail Order Pharmacy for $3 co-pays for up to a 90-day supply. Beneficiaries may purchase second-tier medications
(formulary brand-name) for $9 for up to the same number of days through a TRICARE Retail Network Pharmacy or through the TRICARE Mail
Order Pharmacy. By using the mail-order pharmacy, beneficiaries may save up to 66 percent on prescriptions. Beneficiary cost-shares
in non-network pharmacies are higher.
For a complete list of medications, their formulary status and where they are available, visit www.tricareformularysearch.org/dod/medicationcenter/default.aspx. For more information on the TRICARE Retail Pharmacy and locations, and the TRICARE Mail Order Pharmacy, visit www.express-scripts.com/TRICARE. For more information about the Uniform Formulary Beneficiary Advisory Panel (BAP) review process, visit www.tricare.mil/pharmacy/BAP.