TRICARE Will Stop Covering Some Compound Medications

Recently, TMA (TRICARE Management Activity) sent a letter to 44,000 beneficiaries announcing important information about compound medication coverage. Pharmacy compounding is a practice in which a licensed pharmacist combines ingredients at the pharmacy to alter a prescription to an individual’s specific needs. The pharmacist may combine a conventional medication with other ingredients or eliminate an allergen.

The TRICARE pharmacy benefit covers medications approved by the Food and Drug Administration (FDA).    Some compound prescriptions use ingredients that are not FDA-approved. If a beneficiary’s compound medication contains such ingredients, they should have received a letter from Express Scripts Inc. indicating that the prescription will no longer be covered as of July 24, 2013. Beneficiaries that have been notified that they (or a family member) are taking a compound medication that is no longer covered by TRICARE, should talk with their doctor to see if there is an appropriate alternative that is covered.