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.
Required Info with Your Claim
- Fill out a Patient’s Request for Medical Payment (DD Form 2642).
- Due to security settings, you may have to right-click and select "Save As" to download certain DD Forms.
- 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 |
Accessing DD Forms
Due to security settings, you may have to right-click and select "Save As" to download certain DD Forms.
Last Updated 9/3/2019