The preferred prescribed medication is often a generic version that offers the best overall value in terms of safety, effectiveness, and cost. Step therapy is a process where we look for ways to provide our members the most cost-effective medication that is safe and clinically effective for their condition. If you or your provider have a copy of the previous approval letter, please fax it along with the Prior Authorization Form to USFHP. Please note: If another Health Plan or Tricare has previously approved a medication, USFHP will not have access to that information. In case the medication is not listed, your doctor may use the non-drug specific prior authorization form. To initiate a prior authorization, your doctor must complete and fax the prior authorization form for the specific medication to the Johns Hopkins HealthCare Pharmacy department at 41. This helps us ensure that your prescriptions are medically necessary.įor a list of drugs that require prior authorization, refer to the TRICARE Prior Authorization page. Some medications require prior authorization from our plan before they can be dispensed by your pharmacist. The formulary is updated on a regular basis to include tier changes and utilization (UM) requirements. Registration is required for first-time users. You can also find information about medications, including how to take them, possible side effects, and drug interactions. Use the TRICARE formulary search tool to find coverage and cost share details for a specific drug. Each of these tiers represents a cost share that USFHP members are responsible for paying. It is a tiered, open formulary, and includes generic drugs (Tier 1), preferred brand drugs (Tier 2), and non-preferred brand drugs (Tier 3). The formulary lists all of the prescription drugs that are covered under the TRICARE benefit. To start your search, enter the brand name or generic name of the drug, select the strength prescribed, and enter your gender and age.Johns Hopkins USFHP utilizes the TRICARE ® pharmacy formulary.
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