Sec. 716. PILOT PROGRAM FOR REFILLS OF MAINTENANCE MEDICATIONS FOR TRICARE FOR LIFE BENEFICIARIES THROUGH THE TRICARE MAIL-ORDER PHARMACY PROGRAM
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## SEC. 716 PILOT PROGRAM FOR REFILLS OF MAINTENANCE MEDICATIONS FOR TRICARE FOR LIFE BENEFICIARIES THROUGH THE TRICARE MAIL-ORDER PHARMACY PROGRAM **[**[10 U.S.C. 1074g note](/us/usc/t10/s1074g)**]** ###
(a)In General The Secretary of Defense shall conduct a pilot program to refill prescription maintenance medications for each TRICARE for Life beneficiary through the national mail-order pharmacy program under section 1074g(a)(2)(E)(iii) of title 10, United States Code. ###
(b)Medications Covered ####
(1)Determination The Secretary shall determine the prescription maintenance medications included in the pilot program under subsection (a). ####
(2)Supply In carrying out the pilot program under subsection (a), the Secretary shall ensure that the medications included in the program are generally available to a TRICARE for Life beneficiary— #####
(A)for an initial filling of a 30-day or less supply through— ######
(i)retail pharmacies under clause
(ii)of section 1074g(a)(2)(E) of title 10, United States Code; and ######
(ii)facilities of the uniformed services under clause
(i)of such section; and #####
(B)for a refill of such medications through— ######
(i)the national mail-order pharmacy program; and ######
(ii)such facilities of the uniformed services. ####
(3)Exemption The Secretary may exempt the following prescription maintenance medications from the requirements in paragraph (2): #####
(A)Such medications that are for acute care needs. #####
(B)Such other medications as the Secretary determines appropriate. ###
(c)Nonparticipation ####
(1)Opt out The Secretary shall give TRICARE for Life beneficiaries who have been covered by the pilot program under subsection
(a)for a period of one year an opportunity to opt out of continuing to participate in the program. ####
(2)Waiver The Secretary may waive the requirement of a TRICARE for Life beneficiary to participate in the pilot program under subsection
(a)if the Secretary determines, on an individual basis, that such waiver is appropriate. ###
(d)Regulations The Secretary shall prescribe regulations to carry out the pilot program under subsection (a), including regulations with respect to— ####
(1)the prescription maintenance medications included in the pilot program pursuant to subsection (b)(1); and ####
(2)addressing instances where a TRICARE for Life beneficiary covered by the pilot program attempts to refill such medications at a retail pharmacy rather than through the national mail-order pharmacy program or a facility of the uniformed services. ###
(e)Sunset The Secretary may not carry out the pilot program under subsection
(a)after September 30, 2015. ###
(f)TRICARE for Life Beneficiary Defined In this section, the term “TRICARE for Life beneficiary” means a TRICARE beneficiary enrolled in the Medicare wraparound coverage option of the TRICARE program made available to the beneficiary by reason of section 1086(d) of title 10, United States Code. ## Subtitle C Mental Health Care and Veterans Matters
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Sec. 716
PILOT PROGRAM FOR REFILLS OF MAINTENANCE MEDICATIONS FOR TRICARE FOR LIFE BENEFICIARIES THROUGH THE TRICARE MAIL-ORDER PHARMACY PROGRAM
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