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Information for Pharmaceutical Manufacturers

This page is intended to provide information to Pharmaceutical Manufacturers about the TRICARE Retail Pharmacy Refund Program and the TRICARE Pharmacy Benefit Uniform Formulary. 

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Current Billing Schedule

1QCY18 – 4QCY19 Billing Schedule

Quarter  Billing Period  File Delivery  Demand Letter Date (Invoice)  Refund Payment Due Date  Dispute Cut Off Date
1QCY18January - March 2018June, 11 2018July 21, 2018August 20,2018August 20, 2018
2QCY18April - June 2018September 11, 2018October 21, 2018November 20, 2018November 20, 2018
3QCY18July - September 2018December 11, 2018January 20, 2019February 19, 2019February 19, 2019
4QCY18October - December 2018March 14, 2019April 23, 2019May 23, 2019May 23, 2019
1QCY19  January - March 2019 June 11, 2019 July 21, 2019 August 20, 2019 August 20, 2019
2QCY19
April - June 2019 September 11, 2019 October 21, 2019 November 20, 2019 November 20, 2019
3QCY19
July - September 2019 December 11, 2019  January 20, 2020 February 19, 2020  February 19, 2020 
4QCY19
October - December 2019 March 13, 2020  April 22, 2020 May 22, 2020 May 22, 2020

Please Note: This schedule also applies to executed UF-VARR and UF-ADP agreements.

Rebate File Format: Beginning October 31, 2012 current TRICARE Retail Refund utilization files will move from the NCPDP Version 3.x to NCPDP Version 5.x Rebate File Format. 

BILLING SCHEDULE

Final Rule and Program Updates

November 11, 2016 

Webinar

Operational Documents

Select from the following operational documents related to the TRICARE Retail Pharmacy Refunds Program.

File Date
Encryption Wizard Info 10/15/2018
340b Verification Form 6/30/2017
National Defense Authorization Act for 2008, Section 703 12/1/2007
TRICARE Dispute Resubmission Form 5/26/2016
TRICARE Retail Refund Appendix A Change Request Form 3/5/2019
TRICARE Retail Refund DoD Pricing Agreement 7/9/2018
Unsolicited Additional Discount Program Agreement 6/13/2017
TRICARE Retail Pharmacy Program Questionnaire 10/23/2018
Manufacturer Policy and Procedure Guide 1/22/2019

DHA Address: 7700 Arlington Boulevard | Suite 5101 | Falls Church, VA | 22042-5101

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