The Lyster Army Health Clinic Department of Pharmacy would like to thank our beneficiaries eligible to visit and use our pharmacies. Our commitment to you is nothing less than our best. We continuously strive to and seek to implement new programs that improve both the quantity and quality of our services. We appreciate the opportunity and privilege to serve you. Thank you!
Tier 3 non-formulary medication will not be available at Military Treatment Facility (MTF) pharmacies unless certain conditions are met.
1) You need to be enrolled to receive care at the MTF
2) The medication must be prescribed by an MTF provider; and
3) All medical necessity and/or prior authorization requirements have been met and approved. If you are enrolled to an MTF provider and were referred to a civilian provider for care, prescriptions from that civilian provider will be honored as well if they meet all medical necessity and/or prior authorization requirements.
This is not a new Defense Health Agency policy, but a restatement of a long-standing Health Affairs policy (HA Policy 04-032). Also, this should not be interpreted to mean you can no longer get any prescriptions written by a civilian provider at the MTF pharmacy.
We will gladly still fill any Tier 1 and Tier 2 formulary medications. If you have questions about the Tier level or medical necessity/prior authorization requirements of a particular medication, we encourage you to check the TRICARE formulary (http://www.express-scripts.com/tricareformulary).
What You Should Do
If you are currently receiving a Tier 3, non-formulary medication at the MTF, discuss this information with your healthcare provider or pharmacist to see which one of the following options is best for you:
Co-Pays for Non-Formulary Prescriptions Outside of MTFs
Non-formulary prescriptions filled through TRICARE Home Delivery will require a $53 co-pay per 90 day supply of medication through 31 December 2019. This equates to less than $18 per month for your non-formulary medications which is well below commercial insurance prices.
If you have any questions regarding this policy, please contact the Lyster Army Health Clinic Pharmacy at (334) 255-7830.
Routine refills are processed by phone. You may call the automated telephone refill system or use the Internet refill system to refill your prescriptions 24 hours a day, seven days a week. Please be sure to have the last four of the sponsor’s social security number and prescription number on hand when using either of the refill systems.
The Pharmacy kiosk serves Active Duty and patients seen in the clinic. The kiosk helps streamline work processes, improve patient satisfaction, and reduce wait times. Our concierge desk will continue to service our retiree population. Please utilize the kiosk for check-in if you are active duty or a patient seen in the clinic.
It is necessary to provide the military ID card of the patient (if 10 years old or older), or a current copy of the ID card, when obtaining a prescription at any military pharmacy or TRICARE Retail Network Pharmacy to help establish eligibility and authorization. It is permissible for military ID cards to be photocopied (front & back) to assist in eligibility verification and for the purpose of rendering care.
Mon - Fri: 7:30 a.m. - 5:00 p.m.Mon - Fri: 7:30 a.m. - 5:00 p.m