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DOD/DODOASHA | RIN: 0720-AB75 | Publication ID: Fall 2019 |
Title: TRICARE Pharmacy Benefits Program Reforms | |
Abstract:
DoD will finalize the provisions of the published interim final rule. Section 702 of the National Defense Authorization Act for Fiscal Year 2018 (NDAA FY18) makes significant changes to the TRICARE Pharmacy Benefits Program. Specifically, it updates co-payment requirements; authorizes a new process for encouraging use of pharmaceutical agents that provide the best clinical effectiveness by excluding coverage for particular pharmaceutical agents that provide very little or no clinical effectiveness relative to similar agents and for giving preferential status to agents that provide enhanced clinical effectiveness; and authorizes special reimbursement methods, amounts, and procedures to encourage use or high-value products and discourage use of low-value products with respect to pharmaceutical agents provided as part of medical services from authorized providers. This rule was issued as an interim final rule in order to implement expeditiously the reforms authorized by section 702, as specifically authorized by subsection (b)(3) of that section. |
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Agency: Department of Defense(DOD) | Priority: Other Significant |
RIN Status: Previously published in the Unified Agenda | Agenda Stage of Rulemaking: Final Rule Stage |
Major: No | Unfunded Mandates: No |
EO 13771 Designation: Other | |
CFR Citation: 32 CFR 199 | |
Legal Authority: 5 U.S.C. 301 10 U.S.C. ch. 55 |
Legal Deadline:
None |
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Timetable:
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Regulatory Flexibility Analysis Required: No | Government Levels Affected: None |
Small Entities Affected: No | Federalism: No |
Included in the Regulatory Plan: No | |
RIN Data Printed in the FR: No | |
Agency Contact: David Bobb Chief Pharmacy Operations Department of Defense Office of Assistant Secretary for Health Affairs 7700 Arlington Boulevard, Falls Church, VA 22042 Phone:703 681-2890 Email: david.w.bobb.civ@mail.mil |