Plan benefit: We cover prescription drugs that are included on the TRICARE Uniform Formulary and that are prescribed by a licensed practitioner. See below for more information on the TRICARE Uniform Formulary.
|TYPE OF DRUG||PHARMACY||COST OF PRESCRIPTION PER FILL||COST OF PRESCRIPTION PER YEAR|
|Generic Drugs||Maxor Mail Order||Free||Free|
|or at Local Pharmacy||$10||$96|
|Brand Name Drugs||Maxor Mail Order||$20||$64|
|or at Local Pharmacy||$24||$240|
|Non-Formulary Drugs||Maxor Mail Order||$49||$184|
|or at Local Pharmacy||$50||$564|
How to get your prescriptions filled at participating pharmacies and through mail order:
For urgent, short-term acute medications or the first prescription of a newly prescribed medication, for 30 days or less, present your US Family Health Plan member ID card at a participating pharmacy.
For maintenance medications used to treat ongoing, chronic illnesses, the Plan requires that they be ﬁlled routinely by mail order. Using the Maxor Mail Order Pharmacy saves you time and money. When obtaining an initial prescription for a maintenance medication, have your physician write two prescriptions: one for a 30-day initial supply and one for a 90-day maintenance supply. Fill the initial 30-day prescription at a local participating pharmacy. Then, mail your 90-day prescription to Maxor Mail Order Pharmacy.
Mail Order Instructions
- Maxor Prescription Order Form – Side 1 Maxor Prescription Order Form – Side 2
- Members can go directly to www.maxor.com to order reﬁlls of mail order maintenance medication prescriptions. Reﬁlls can also be mailed, faxed or phoned to Maxor Mail Order. For initial ﬁlls of maintenance medications, you will need to ﬁll out the paper form and mail it in with the doctor’s prescription. Please make sure that your current payment information is available to Maxor Mail Order
TRICARE Uniform Formulary
The TRICARE Uniform Formulary covers most FDA approved prescription medications. Some prescription medications may have TRICARE mandated pre-authorization requirements or quantity limitations.
Click here for the list of prescription medications that have a TRICARE Uniform Formulary pre-authorization requirement.
Click here for the list of prescription medications that have a TRICARE Uniform Formulary quantity limitation.
Click here for a list of injectable medications that have a preauthorization requirement and that are available from Maxor Mail Order.
Click here for a list of TRICARE Uniform Formulary exclusions.
Department of Defense Pharmacoeconomic Center
Select one of the locations below to see the list of Maxor participating retail pharmacies near you:
To contact the Maxor Mail Order Pharmacy, click here.