Navy Personnel (effective 12 Feb 01):
· Active Duty: 372,236
o Officers: 53,177
o Enlisted: 314,897
o Midshipmen: 4,162
· Ready Reserve: 176,036
o Selected Reserves: 86,642
o Individual Ready Reserve: 89,394
· Civilians: 183,647

• Personnel on deployment: 39,377
  

The Retired Officer's Association
Jayhawk Chapter
2912 Westdale Road
Lawrence, KS 66049-4407

Phone: 785-865-0712
Fax: 785-842-6803

TRICARE Senior Pharmacy (TSRx)

       The TRICARE Senior Pharmacy (TSRx) Program will start up April 1, 2001, and TRICARE Support Contractors have begun mailing Medicare-eligible beneficiaries information about the new TSRx benefit. These mail-outs were sent to about 1.4 million Medicare-eligible military beneficiaries, including retirees age 64 or older. This new pharmacy program will cover all beneficiaries 65 and older, including retirees, spouses and survivors.  Younger beneficiaries are already covered.
       In General:  If you have pharmacy benefit coverage under some other health insurance (or "double coverage" as it is sometimes called), you must use up your other insurance's pharmacy benefit before you may use the TRICARE prescription benefit in either retail pharmacies or the mail order program. Medicare HMOs, the Federal Employees Health Benefits Program (FEHBP), and any Medigap supplemental insurance plans that include a pharmacy benefit fall into this category.  Under the double
coverage rules, the other insurance will be the primary payer, and TRICARE will be the secondary payer.
       If OHI Coverage is Exhausted:  Once other insurance benefits have

been used up each year, the DoD Pharmacy Program will pay the applicable pharmacy costs, less the applicable co-payments, for the remainder of the year. To do so, beneficiaries will have to provide proof showing that OHI limits have been reached or exceeded. The DoD Pharmacy Program will also provide a benefit if the medication is not on the formulary (list of available medications) for your other insurance, but is on the DoD formulary.  But you will need to provide documentation that the drug was not on the OHI formulary.  For DoD retail pharmacy services, you can submit an explanation of benefits (EOB) statement or similar document from your other insurance carrier to a

TRICARE claims payer for your region. For the National Mail Order Pharmacy (NMOP) Program, you can send this documentation along with your co-payment and prescription.
       For instructions on how to use the NMOP program after your benefit has been exhausted, call (800) 903 4680.  If outside the US, call (614) 421-8211.
       More information is available through the DoD pharmacy call center at 1-877-DOD-MEDS or 1-877-363-6337.  The call center is operational weekdays (Monday through Friday) from 7 AM to 11 PM (Eastern Standard Time).