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Your search "medical necessity for non formulary drugs" returned 1294 results.
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Non-Formulary Drugs
... Explains non-formulary drugs and establishing medical necessity to get non-formulary drugs at the formulary cost-share ...
/CoveredServices/Pharmacy/Drugs/NonFormularyGeneric and Brand-Name Formulary Drugs
Describes TRICARE coverage of generic formulary drugs
/CoveredServices/Pharmacy/Drugs/GenericAndBrandNameGet Prior Authorization or Medical Necessity
how to get prior authorization or medical necessity for your drugs, if necessary
/CoveredServices/Pharmacy/FillPrescriptions/PreAuthMedicalMedical Necessity Appeals
Describes how to file a medical necessity appeal and request reconsideration decisions and independent hearings
/PatientResources/Claims/Appeals/MedicalNecessityNon-Covered Drugs
Provides information about non-covered drugs
/CoveredServices/Pharmacy/Drugs/MedsNotCoveredHospitalization for Medical or Surgical Care
Describes how TRICARE covers hospitalization for medical or surgical care
/CoveredServices/IsItCovered/HospitalizationMedSurgHospitalization for Medical or Surgical Error
TRICARE doesn't cover services or hospitalization as a result of a medical or surgical error
/CoveredServices/IsItCovered/HospMedSurgErrorTRICARE Formulary Search Tool
Managing your prescriptions can be tricky, but the TRICARE Formulary Search Tool can help! Learn how much you’ll pay, where you can get your prescriptions filled, and so much more.
/PatientResources/MediaCenter/TRICARE-Videos/FST_April_2022Prescription Drugs
TRICARE covers most prescription drugs approved by the U.S. Food and Drug Administration. There are specific rules for filling prescriptions for certain types of drugs.
/CoveredServices/Pharmacy/DrugsBeneficiaries Eligible for TRICARE and Medicare
If you're eligible for both TRICARE and Medicare Part A, then in most cases, you must have Medicare Part B to keep TRICARE.
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Last Updated 9/29/2023