TRICARE Pharmacy (TPharm)
Chapter 23
Section 2
Out-Of-Jurisdiction Claims
Revision: C-76,
October 5, 2020
1.0 The
TPharm contractor shall not process claims for pharmaceuticals
and diabetic supplies purchased at a retail pharmacy outside of
the covered geographic area specified in the contract. The TPharm
contractor shall forward
those claims to the appropriate TRICARE contractor.
2.0 All claims
received which are the responsibility of another TRICARE contractor
shall be forwarded to that contractor in accordance with
Chapter 8, Section 2.
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