Description
The Defense Health Agency (DHA) is seeking information from industry partners to inform the development of the next generation TRICARE Pharmacy Program (TPharm) contract. The program aims to provide a world-class pharmacy benefit to all eligible beneficiaries through the integration of state-of-the-art technologies to enhance patient safety, efficiency, and cost-effectiveness. The DHA is looking for feedback on various aspects of the program, including pharmacy benefit administration services, mail order pharmacy fulfillment services, enhanced care (specialty) program, management control, and procurement method.
Some key aspects of the program include:
• Performing claims adjudication and administering a retail pharmacy network
• Operating the TRICARE Mail Order Pharmacy (TMOP) and processing reimbursements for claims filled at retail network and non-network pharmacies
• Providing clinical reviews and beneficiary and pharmacy support services
• Transmitting claim information to the Government's designated Pharmacy Data Warehouse
The DHA is seeking input from industry partners to help shape the program's requirements and procurement strategy.