{"id":1996,"date":"2018-05-25T10:54:25","date_gmt":"2018-05-25T14:54:25","guid":{"rendered":"https:\/\/sandbox0.foxtrotdev.com\/?page_id=1996"},"modified":"2025-09-12T11:00:17","modified_gmt":"2025-09-12T15:00:17","slug":"pharmacy","status":"publish","type":"page","link":"https:\/\/sandbox0.foxtrotdev.com\/?page_id=1996","title":{"rendered":"Pharmacy"},"content":{"rendered":"

[vc_row][vc_column][vc_column_text]<\/p>\n

Comprehensive Pharmacy & Medication Coverage<\/h2>\n

[\/vc_column_text][vc_column_text css=””]Johns Hopkins USFHP utilizes the TRICARE\u00ae<\/sup> pharmacy formulary. The formulary lists all of the prescription drugs that are covered under the TRICARE benefit. It is a tiered, open formulary, and includes generic drugs (Tier 1), preferred brand drugs (Tier 2), and non-preferred brand drugs (Tier 3). Each of these tiers represents a cost share that USFHP members are responsible for paying.<\/p>\n

Use the TRICARE formulary search tool to find coverage and cost share details for a specific drug.<\/a><\/p>\n

You can also find information about medications, including how to take them, possible side effects, and drug interactions. Registration is required for first-time users. Log in<\/a> and see “Health Resources”.<\/p>\n

Formulary changes<\/h3>\n

The formulary is updated on a regular basis to include tier changes and utilization (UM) requirements. Review the latest formulary changes<\/a>.<\/p>\n

Prior authorization<\/h3>\n

Some medications require prior authorization from our plan before they can be dispensed by your pharmacist. This helps us ensure that your prescriptions are medically necessary.<\/p>\n

For a list of drugs that require prior authorization, refer to the\u00a0TRICARE Prior Authorization page<\/a>.<\/p>\n

To initiate a prior authorization, your doctor must complete and fax the prior authorization form for the specific medication<\/a> to the Johns Hopkins Health Plans Pharmacy department at 410-424-4037<\/a>.<\/p>\n

Please note:<\/strong> If another Health Plan or Tricare has previously approved a medication, USFHP will not have access to that information. If you or your provider have a copy of the previous approval letter, please fax it along with the Prior Authorization Form to USFHP.<\/p>\n

Step therapy<\/h3>\n

Step therapy is a process where we look for ways to provide our members the most cost-effective medication that is safe and clinically effective for their condition. The preferred prescribed medication is often a generic version that offers the best overall value in terms of safety, effectiveness, and cost. Non-preferred drugs are only prescribed if the preferred medication is ineffective or poorly tolerated.<\/p>\n

Drugs subject to step therapy will be approved for first-time users only after they have tried one of the preferred agents as covered in the TRICARE formulary<\/a>. When medically necessary, your doctor can request an exception to the step therapy requirement. Your doctor must complete and fax the prior authorization form for the specific medication<\/a> to the Johns Hopkins Health Plans Pharmacy department at 410-424-4037<\/a>.<\/p>\n

Quantity limits<\/h3>\n

Quantity limits are established for certain drugs to ensure the medication is being used correctly. If your medical condition warrants a larger quantity of your medication than the listed quantity limit, your doctor should submit a prior authorization request<\/a>.<\/p>\n

Co-Pay reduction for non-formulary drugs<\/h3>\n

If your doctor can establish that you are not able to be treated with generic or preferred formulary brand medications, you can get non-formulary drugs at a network pharmacy, or through mail service. Your doctor can request a co-pay reduction on your behalf by completing and submitting a non-formulary co-pay reduction request<\/a> form. If the requested drug also requires prior authorization, your doctor should submit a drug-specific prior authorization request<\/a> as well.[\/vc_column_text][\/vc_column][\/vc_row][vc_row equal_height=”yes” content_placement=”middle” el_class=”equal-height-elements”][vc_column width=”1\/3″][vc_column_text css=”.vc_custom_1578084238404{padding-top: 50px !important;padding-right: 50px !important;padding-bottom: 50px !important;padding-left: 50px !important;background-color: #ebb700 !important;}”]<\/p>\n

Medications<\/h2>\n

View your coverage<\/a><\/p>\n

[\/vc_column_text][\/vc_column][vc_column width=”1\/3″][vc_column_text css=”.vc_custom_1578322379570{padding-top: 50px !important;padding-right: 50px !important;padding-bottom: 50px !important;padding-left: 50px !important;background-color: #0073cf !important;}”]<\/p>\n

Network Pharmacy<\/h2>\n

Find a Walgreens<\/a><\/p>\n

[\/vc_column_text][\/vc_column][vc_column width=”1\/3″][vc_column_text css=”.vc_custom_1578084256662{padding-top: 50px !important;padding-right: 50px !important;padding-bottom: 50px !important;padding-left: 50px !important;background-color: #002c77 !important;}”]<\/p>\n

Vaccines<\/h2>\n

Pharmacy Vaccine Network<\/a><\/p>\n

[\/vc_column_text][\/vc_column][\/vc_row]<\/p>\n<\/div>","protected":false},"excerpt":{"rendered":"

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