2.3 Non-U.S. Food and Drug Administration
(FDA) Approved Drugs
Non-FDA
approved prescription drugs may be cost-shared in foreign countries
if the TOP contractor has substantiated that the drug is commonly
used for the intended purpose in the host nation. The TOP contractor
shall substantiate that the drug is commonly used in the host nation
based on past claims/country experience or by a web search on the
drug in question. If a claim for a non-FDA approved drug is submitted
by a provider that is required to comply the National Drug Coding
(NDC) requirements as outlined in TRICARE Operations Manual (TOM),
Chapter 24, Section 14, the TOP contractor
shall contact the Defense Health Agency (DHA) for assistance prior
to processing the claim.