Sec. 702. MODIFICATIONS OF COST-SHARING AND OTHER REQUIREMENTS FOR THE TRICARE PHARMACY BENEFITS PROGRAM
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## SEC. 702 MODIFICATIONS OF COST-SHARING AND OTHER REQUIREMENTS FOR THE TRICARE PHARMACY BENEFITS PROGRAM ###
(a)Availability of Pharmaceutical Agents Through National Mail-Order Pharmacy Program Paragraph
(5)of section 1074g(a) of title 10, United States Code, is amended— ####
(1)by striking “at least one of the means described in paragraph (2)(E)” and inserting “the national mail-order pharmacy program”; and ####
(2)by striking “may include” and all that follows through the period at the end and inserting “shall include cost-sharing by the eligible covered beneficiary as specified in paragraph (6).”. ###
(b)Modification of Cost-Sharing Amounts Paragraph (6)(A) of such section 1074g(a) is amended— ####
(1)in clause (i)— #####
(A)in subclause (I), by striking “$5” and inserting “$8”; #####
(B)in subclause (II), by striking “$17; and” and inserting “$20.”; and #####
(C)by striking subclause (III); and ####
(2)in clause (ii)— #####
(A)in subclause (II), by striking “$13” and inserting “$16”; and #####
(B)in subclause (III), by striking “$43” and inserting “$46”. ###
(c)Refills of Prescription Maintenance Medications Through Military Treatment Facility Pharmacies or National Mail Order Pharmacy Program ####
(1)In general Such section is further amended by adding at the end the following new paragraph: > > #### “(9) > > > #####
(A)> > Beginning on October 1, 2015, the pharmacy benefits program shall require eligible covered beneficiaries generally to refill non-generic prescription maintenance medications through military treatment facility pharmacies or the national mail-order pharmacy program. > > > ##### “(B) > > The Secretary shall determine the maintenance medications subject to the requirement under subparagraph (A). The Secretary shall ensure that— > > > ###### “(i) > > such medications are generally available to eligible covered beneficiaries through retail pharmacies only for an initial filling of a 30-day or less supply; and > > > ###### “(ii) > > any refills of such medications are obtained through a military treatment facility pharmacy or the national mail-order pharmacy program. > > > ##### “(C) > > The Secretary may exempt the following prescription maintenance medications from the requirement of subparagraph (A): > > > ###### “(i) > > Medications that are for acute care needs. > > > ###### “(ii) > > Such other medications as the Secretary determines appropriate.” > . ####
(2)Termination of pilot program Section 716(f) of the National Defense Authorization Act for Fiscal Year 2013 (Public Law 112-239; 10 U.S.C. 1074g note) is amended by striking “December 31, 2017” and inserting “September 30, 2015”. ###
(d)GAO Report on Pilot Program Not later than July 1, 2015, the Comptroller General of the United States shall submit to the congressional defense committees a report on the satisfaction of beneficiaries participating in the pilot program under section 716 of the National Defense Authorization Act for Fiscal Year 2013 (Public Law 112-239; 10 U.S.C. 1074g note). Such report shall address the following: ####
(1)The satisfaction of beneficiaries participating in the pilot program. ####
(2)The timeliness of refilling prescriptions under the pilot program. ####
(3)The accuracy of prescription refills under the pilot program. ####
(4)The availability of medications refilled under the pilot program. ####
(5)The cost savings to the Department of Defense realized by the pilot program. ####
(6)The number of beneficiaries who did not participate in the pilot program by reason of subsection
(c)of such section 716. ####
(7)Any other matters the Comptroller General considers appropriate.
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- Pub. L. 112-239
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Sec. 702
MODIFICATIONS OF COST-SHARING AND OTHER REQUIREMENTS FOR THE TRICARE PHARMACY BENEFITS PROGRAM
Pub. L.Pub. L. 112-239
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