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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