APC: Push back against TRICARE network exclusion

September 23, 2022

Push back against TRICARE network exclusion

Express Scripts (ESI) has slashed pharmacy reimbursements for 2023, making it impossible for many independent community pharmacies to participate in the TRICARE pharmacy network.

ESI has also notified TRICARE beneficiaries that their pharmacy will no longer be in network as of October 24, 2022, instead of the end of December this year. ESI’s actions are creating disruptions for TRICARE beneficiaries and their caregivers, and making it more difficult for many to access their necessary prescriptions.

If you would like to take action, NCPA and APC are encouraging pharmacists to use this link to urge your federal legislators to sign on to a letter led by Sen. Tom Cotton (R-Ark.) and Rep. Buddy Carter (R-Ga.) that demands answers from the Department of Defense on the recent TRICARE pharmacy contracts. Don’t delay, as the deadline for Members of Congress to sign on is September 28.

For your patients and their caregivers who are experiencing a disruption, please direct them to this NCPA-created resource to take action. Print this letter in your pharmacy and ask your affected patients to sign and mail directly to the Defense Health Agency.