Pharmacy Claims
You will need to file a claim for reimbursement if:
- You get your prescription filled at a non-network pharmacy*, or
- You have other health insuranceHealth insurance you have in addition to TRICARE, such as Medicare or an employer-sponsored health insurance. TRICARE supplements don’t qualify as "other health insurance." with pharmacy benefits
You must file your claim within one year of the date of service.
*If you have prescriptions filled at a non-network pharmacy, you’re using the point-of-service option. You’ll receive a partial reimbursement after you’ve met the point of service deductible.
Required Info with Your Claim
- Fill out a Patient’s Request for Medical Payment (DD Form 2642).
- You must send the form and the following information with your claim.
- If you have other health insurance, you should send an explanation of benefits (EOB).
CAN'T be Handwritten on the EOB or Pharmacy Receipt | CAN be Handwritten on the EOB or Pharmacy Receipt |
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Claims Filing Addresses
In the U.S. or a U.S. Territory, file your claim with the pharmacy contractor:
Express Scripts, Inc.
P.O. Box 52132
Phoenix, AZ 85072-2132
In an overseas area (other than a U.S. Territory), file your claims with the overseas claims processor, at the appropriate address.
Active Duty All Overseas Areas |
TRICARE Active Duty Claims P.O. Box 7968 Madison, WI 53707-7968 www.tricare-overseas.com |
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Eurasia-Africa Non-active duty |
TRICARE Overseas Program P.O. Box 8976 Madison, WI 53708-8976 www.tricare-overseas.com |
Latin America & Canada Non-active duty |
TRICARE Overseas Program P.O. Box 7985 Madison, WI 53707-7985 www.tricare-overseas.com |
Pacific Non-active duty |
TRICARE Overseas Program P.O. Box 7985 Madison, WI 53707-7985 www.tricare-overseas.com |
If you have pre-paid or been billed for prescriptions you need for a Line of Duty illness or injury, you can have these expenses reimbursed. Contact DHA Great Lakes (formerly known as MMSO) for more information.
If you have prescriptions filled at a non-network pharmacy, you’re using the point-of-service option. You’ll receive a partial reimbursement after you’ve met the point of service deductible.
Last Updated 9/3/2019