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TRICARE Operations Manual 6010.59-M, April 1, 2015
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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