Recently, the Department of Defense awarded a $4 billion contract to Express Scripts and at the same time reduced the size of the retail pharmacy network. Express Scripts, which owns its own mail-order and specialty pharmacy and is a direct competitor to other community pharmacies, has cut reimbursements, in many cases less than what the pharmacy pays itself for the drugs, making it nearly impossible for a pharmacy to be able to participate and serve our military and our families. Over 15,000 community pharmacies will be forced out of the Express Scripts network. Additionally, ESI has notified TriCare beneficiaries that these pharmacies that did not sign a contract with ESI for 2023 for TriCare will be out-of-network beginning October 24, 2022 instead of the end of December.
Twenty-eight members of the House of Representatives joined on led by Rep. Ralph Norman (R-S.C.) and sent to Secretary of Defense Lloyd Austin questioning Cigna/Express Scripts’ claim that 7,000 independent pharmacies remained in the Tricare network and demanding answers on how that figure was calculated and the patient harm it will cause.
IPA stands for fair reimbursement practices, fair market competition and patient choice. These resources are provided to help educate patients and to provide an opportunity to take action.
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