{"id":131657,"date":"2022-10-04T06:00:42","date_gmt":"2022-10-04T10:00:42","guid":{"rendered":"https:\/\/valorguardians.com\/blog\/?p=131657"},"modified":"2022-10-03T15:16:15","modified_gmt":"2022-10-03T19:16:15","slug":"almost-15000-pharmacies-out-of-tri-care-pols-want-to-know-why","status":"publish","type":"post","link":"https:\/\/valorguardians.com\/blog\/?p=131657","title":{"rendered":"Almost 15,000 pharmacies out of Tri-Care, pols want to know why"},"content":{"rendered":"

\"\"<\/p>\n

14,963 pharmacies have been confirmed as ceasing participation in TriCare.<\/p>\n

The letter comes after the Defense Health Agency, or DHA, confirmed that 14,963 retail pharmacies will no longer participate<\/a> in Tricare’s pharmacy network, which is administered by Express Scripts, starting Oct. 24.<\/p>\n

Some independent pharmacies knew they would be dropped from Tricare next year because they wouldn’t accept the terms of Express Scripts’ contract, which included lowered reimbursement rates. But many have been blindsided by the Oct. 24 date, an advocacy group for independent pharmacies told Military.com last week.<\/p><\/blockquote>\n

A letter from over 100 lawmakers 18 Senate Republicans and 80 House members, mostly Republicans with a handful of Democrats) to Seileen Mullen, the acting assistant secretary of defense for health affairs, is asking why Tri-care is closing their contracts October 24 (instead of EOY) saying it will lead to:<\/p>\n

“patient access and safety” issues resulting from the reductions. “This will only further reduce the pharmacy network for Tricare patients and their families, and may force beneficiaries to change pharmacies at a time when many receive annual vaccinations,” they wrote in the letter.<\/p><\/blockquote>\n

Military.com<\/a><\/p>\n

Sounds like Express Scripts is working with the various pharmacies on the same basis as Medicare works with doctors: respondents to both complan of inadequate and slow repayment.\u00a0 I suspect they would say they “pay exactly on time from when payment is approved” but dodge how long it takes to actually approve payments.<\/p>\n","protected":false},"excerpt":{"rendered":"

14,963 pharmacies have been confirmed as ceasing participation in TriCare. The letter comes after the Defense Health Agency, or DHA, confirmed that 14,963 retail pharmacies will no longer participate in Tricare’s pharmacy network, which is administered by Express Scripts, starting Oct. 24. Some independent pharmacies knew they would be dropped from Tricare next year because […]<\/p>\n","protected":false},"author":668,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[213,611],"tags":[],"class_list":["post-131657","post","type-post","status-publish","format-standard","hentry","category-your-tax-dollars-at-work","category-pentagon"],"jetpack_featured_media_url":"","jetpack_shortlink":"https:\/\/wp.me\/p4ozh1-yfv","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/valorguardians.com\/blog\/index.php?rest_route=\/wp\/v2\/posts\/131657","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/valorguardians.com\/blog\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/valorguardians.com\/blog\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/valorguardians.com\/blog\/index.php?rest_route=\/wp\/v2\/users\/668"}],"replies":[{"embeddable":true,"href":"https:\/\/valorguardians.com\/blog\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=131657"}],"version-history":[{"count":0,"href":"https:\/\/valorguardians.com\/blog\/index.php?rest_route=\/wp\/v2\/posts\/131657\/revisions"}],"wp:attachment":[{"href":"https:\/\/valorguardians.com\/blog\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=131657"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/valorguardians.com\/blog\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=131657"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/valorguardians.com\/blog\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=131657"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}