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The National Home Infusion Association (NHIA), has been made aware that TRICARE patients within our infusion provider community have received letters from Express Scripts stating that the local infusion pharmacy they currently use will no longer be in network as of October 24, 2022. These letters instruct patients that to avoid out-of-network expense premiums, they should change their pharmacy to Accredo Pharmacy, a mail order pharmacy owned by Express Scripts.
NHIA is advocating for patients receiving home infusion therapy to be able to keep their current provider. Infusion therapy involves the administration of medication through a needle or catheter.
Currently, the TRICARE website does not indicate that these home infusion therapies should be included in this policy change. NHIA has requested clarification from TRICARE, but has not yet received a response.
If you have been affected by this change, we would like to hear from you. Please let us know how this situation is affecting you.
If you would like to contact Express Scripts to provide feedback or file a complaint, you can call 1-877-363-1303 or send an email to DOD.customer.relations@express-scripts.com.
You can write to Defense Health Agency at:
Defense Health Agency
Pharmaceutical Operations Directorate
7700 Arlington Boulevard, Suite 5101
Falls Church, VA 22042-5101
Contact your physician for recommendations regarding future services.
Express Scripts has stated that they will be contacting patients needing specialty drugs after October 24th. If you have not received a call or email, you can call 1-877-363-1303 to inquire as to the status of your case.