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Prescription Co-pay Updates / Frequently Asked Questions

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Q: I heard that TRICARE pharmacy copayments are increasing.  Is this true?

A: Yes, this is true. We have been notified by the Department of Defense that TRICAREĀ® pharmacy copayments for Johns Hopkins US Family Health Plan beneficiaries are increasing effective March 11, 2013.

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Q: Will the cost of my medication change? What will I need to pay at the pharmacy?

A: The following changes to pharmacy copayments will go into effect on March 11, 2013:

Type of Pharmacy:Current CoPay:NEW CoPay
(effective 3-11-13)

Rite Aid Retail
(up to a 30 day supply)

Generic: $5
Brand Name: $12
Non-Formulary: $25
(unless you establish medical necessity)
Generic: No Change
Brand Name: $17
Non-Formulary: $44
(unless you establish medical necessity)
Rite Aid Retail & Home Delivery
(up to 90 day supply of maintenance medications)
Generic: $0
Brand Name: $9
Non-Formulary: $25
(unless you establish medical necessity)
Generic: No Change
Brand Name: $13
Non-Formulary: $43
(unless you establish medical necessity)

 

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Q: Do I need to do anything?

A: No, we have made updates to the pharmacy system and will be in effect for any prescriptions that you pick up beginning March 11, 2013.

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Q: Why is it less expensive to receive up to a 90-day supply than up to a 30-day supply?

A: The lower co-pays are intended to make TRICARE pharmacy home delivery more affordable. Johns Hopkins has elected to extend the same lower home delivery co-pay to medications used in management of chronic condition and filled at a community Rite Aid pharmacy.  

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Q: Can I fill my prescriptions at any pharmacy?

A: No, Johns Hopkins USFHP members are required to obtain prescriptions through Rite Aid or through the Home Delivery option (i.e., mail order through Rite Aid). 

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Q: Do I have to change my prescriptions to mail order to receive the mail order copay?

A: No, you can receive up to 90 days of medication at your community Rite Aid at the mail order copay. You may elect the mail order option if it is more convenient for you.

If you have any questions please call our Customer Service Department at 1-800-808-7347.

 

 

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