Do you take drugs regularly for a chronic condition like high cholesterol or high blood pressure? These are certain maintenance drugsAny drug you take regularly for a chronic condition..
You have to refill certain maintenance drugs through home delivery or at military pharmacies. This doesn’t apply to active duty service members.
To check, you can:
When you get a prescription for a drug on the Certain Drug List:
There are times when you may not be required to switch to home delivery or a military pharmacy.
If your brand name drug has a generic substitute, you can use the generic instead. You can fill most generic drug prescriptions at a network pharmacy.
You can call Express Scripts at 1-877-363-1303 to request a waiver. If you get a waiver, you can go to a network pharmacy without penalty. Waivers are granted on a case-by-case basis for:
Typically, you can't use home delivery when you have other health insurance. You may have to use your TRICARE pharmacy benefit if:
This requirement only applies to prescriptions filled in the U.S. and U.S. Territories.
This requirement doesn't apply to active duty service members.
Last Updated 6/5/2018
(where toll-free service is established)
Express Scripts Website
View More Contacts
Certain Maintenance Drugs