Our plan covers 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 Local Pharmacy	$13 $16	$52 $192
Brand Name Drugs	Maxor Mail Order Local Pharmacy	$38 $43	$152 $516
Non-Formulary Drugs	Maxor Mail Order Local Pharmacy	$76 $76	$304 $912

HOW TO GET YOUR PRESCRIPTIONS FILLED AT PARTICIPATING PHARMACIES AND THROUGH MAIL ORDER

For urgent, short-term acute medications or for 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, our plan requires that those medications be filled routinely by mail order. 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 OPTIONS

• Fill out the Maxor Prescription Order Form

• 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 complete a paper form and mail it in with the doctor’s prescription. Please make sure that your current payment information is available when submitting your 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.

PHARMACY LOCATIONS

Select one of the locations below to see the list of Maxor participating retail pharmacies near you:

Q&A SESSIONS

For more information about our plan, check out one of our Q&A Sessions hosted by our team of healthcare experts, here: