Suite 5101 There is no cost to fill covered specialty prescriptions at a military pharmacy. Some drugs are covered but not preferred, and are categorized as Non-Formulary. We fill new prescriptions for formulary medications from on- and off-base providers, refill existing prescriptions requested on the MHS GENESIS Patient Portal or phoned in through the refill call system, and provide consultation on proper use, precautions, side effects, and medication interactions. Our primary concern is clinical appropriateness, not drug cost. All rights reserved. Freedom Fertility will be the primary in-network pharmacy option for fertility medication needs starting 1 January 2023. The TRICARE Formulary is a list of generic and brand-name prescription drugs covered by TRICARE. Simply send a text message to your local participating military pharmacy. This process helps protect your personal information. If you cant find the answer to your question, please contact us. You can find them in most pharmacies and they cost less than the other options below. The Basic Core Formulary is a list of pharmaceuticals that are available at all full-service Department of Defense military pharmacies. Some documents are presented in Portable Document Format (PDF). Certain prescriptions require a pre-authorization. Use theTRICARE Formulary Search Toolto look-up your drug. If you submit a prescription through Q-Anywhere outside of duty hours, it wont be received or activatedCalled or ordered to active duty service for more than 30 days in a row.. To refill prescriptions, use your military pharmacys automated refill line or submit a request at www.tricareonline.com. TRICARE is a registered trademark of the Department of Defense (DoD),DHA. Para obtener ayuda, llame al nmero de Servicios al Miembro que figura en su tarjeta de identificacin. The formulary is: Developed by the Department of Defense (DOD) Pharmacy and Therapeutics (P&T) Committee. Or you can scan the pharmacys QR code. The appearance of hyperlinks does not constitute endorsement by the DHA of non-U.S. Government sites or the information, products, or services contained therein. Managing your prescriptions can be tricky, but the TRICARE Formulary Search Tool can help! Each military pharmacy has its own prescription refill process. Para obtener ayuda, llame al nmero de Servicios al Miembro que figura en su tarjeta de identificacin. Some military pharmacies may stock your specialty drug. This is a test of the sitewide banner capability. They depend on the medical effectiveness and cost effectiveness of a drug compared to other similar drugs. Search the TRICARE Formulary We comply with applicable Federal civil rights laws and do not discriminate on the basis of race, color, national origin, age, disability, or sex. You have a variety of convenient pharmacy choices to fill your specialty medications. A fast and convenient option for picking up or dropping off prescriptions. Usted tiene derecho a recibir esta informacin, as como ayuda, en su idioma de manera gratuita. Quantity limits vary by type of pharmacy: Exceptions can be made if your provider establishes medical necessity. . . Military pharmacies Visit tricare.mil/mtf to find a military pharmacy near you. Download a PDF Readerorlearn more about PDFs. Such hyperlinks are provided consistent with the stated purpose of this website. To activate prescriptions: The Pharmacy will fill all medications covered under the TRICARE formulary. For more information, visit tricare.mil/CoveredServices/Pharmacy/FillPrescriptions/NonNetwork. Such links are provided consistent with the stated purpose of this website. Falls Church, VA 22042-5101, An official website of the United States government. The ScriptCenter machine located in the BX Food Court is an alternate location to pick up refills. Zadzwo pod numer Dziau Obsugi Czonkw znajdujcy si na Twojej legitymacji w celu uzyskania pomocy. Q-Anywhere lets you quickly activate a new prescription. The more you understand about the types of Tricare providers, the better you can control your costs. Generic and Brand-Name Formulary Drugs Generic drugs are just as potent, pure, safe, and reliable as brand-name drugs. Coverage review requirements and forms. Don't forget to keep your family's information up-to-date in, Wellness for Life/Diabetes Education Classes, Local COVID-19 Guidance and Vaccination Distribution, MHS GENESIS NEW Electronic Health Record System, https://munson.tricare.mil/Patient-Resources/MHS-GENESIS-NEW-Electronic-Health-Record-System, https://munson.tricare.mil/Patient-Resources/Medical-Records-Release-of-Information, CDC's website for more information on proper medication storage, Hosted by Defense Media Activity - WEB.mil, Providers should send these prescriptions electronically to. Please enter a valid email address, e.g. Download a PDF Reader or learn more about PDFs. Senators Want to Know Why. . The tool is available on the Express Scripts website at www.esrx.com/tform. Some documents are presented in Portable Document Format (PDF). Tem o direito de receber esta informao e ajuda no seu idioma, gratuitamente. Utilize the Script Center for your refills: See this registration video from Keesler AFB about how to get set up with the Script Center, Your doctor can send prescriptions to the pharmacy electronically, You can turn in a paper prescription at the pharmacy, Bring your paper prescription here to be filled. Using your cell phone, text Get in lineto Munsonat 833-851-1505 M-F from 8 a.m. to 4 p.m. TRICARE Formulary Search Tool (FST) The FST is a digital tool designed to educate users on medications covered under the TRICARE pharmacy benefit. There are specific rules for filling prescriptions for certain types of drugs. They meet most of the primary care needs of TRICARE beneficiaries. Express Scripts approves use of the brand-name drug ; Express Scripts may approve a brand-name drug if your doctor: Completes a clinical review that says the brand-name drug should be used instead of the generic drug; Calls 1-866-684-4488 to request the brand-name drug for you; For more information about generic drugs, visit the FDA's website. NEW: You can now add a mobile phone number to get your codes via text message. Sie haben das Recht, diese Informationen und Hilfe in Ihrer Sprache kostenlos zu erhalten. Find theright contact infofor the help you need. If prescribed a brand-name drug, you'll get a generic substitute unless: There isn't a generic substitute International SOS strives to update the certified pharmacy list on the 1st and 15th of each month. Fr Hilfe rufen Sie die Nummer der Mitgliederbetreuung auf Ihrem Ausweis an. MondayFriday Suite 5101 All Rights Reserved. They help prevent medication errors since the prescription information populates within the Pharmacys system, eliminating the need for Pharmacy staff to decipher and re-type handwritten prescriptions into our electronic medical record. What to expect after activation. Drive-Thru Download a PDF Readerorlearn more about PDFs. -Or-. TRICARE Formulary. Some medications are not covered, or require medical necessity documentation before they can be filled. Although the DHA may or may not use these sites as additional distribution channels for Department of Defense information, it does not exercise editorial control over all of the information that you may find at these locations. We are able to provide up to a 90-day supply for most medications, so make sure to ask you provider to write your prescription for a 90-day supply. Your doctor must submit a prior authorization. This will automatically fill in the phone number and Get in line text for you. When using our hospital or branch health clinic pharmacies, you can receive up to a 90-day supply (for most medications) with no co-pay. Falls Church, VA 22042-5101, An official website of the United States government, Don't forget to keep your family's information up-to-date in, https://www.facebook.com/NHCCC/videos/396761046005601, Hosted by Defense Media Activity - WEB.mil, E-Prescribing Pharmacy Name: DoD Corpus Christi ePHCY. Updated quarterly >>View Recent Formulary Changes You can search the TRICARE Formulary to: A PDF reader is required for viewing. There are two types of TRICARE-authorized providers: Network and Non-Network. If you have a prescription from a TRICARE network or non-network doctor, you may fill it here, as long as its available on the TRICARE Uniform Formulary. 7700 Arlington Boulevard Once registered and logged on, click "Messaging," click "Send a Message," choose who to "send on behalf of," choose "Tinker Pharmacy" in the "to" box, and complete the comment field for your request. A PDF of talking points with the background and key messages on the TRICARE Formulary Search Tool. ID . According to federal law, the Pharmacy cannot dispense prescriptions that expire before they are picked up. You can see which medications are eligible for home delivery by using the TRICARE Formulary Search Tool. Check with your local military pharmacy to see if they stock your specialty drug. We can accept hard-copy prescriptions and prescriptions sent electronically to DOD TINKER PHARMACY. Masz prawo do uzyskania tej informacji oraz bezpatnej pomocy w Twoim jzyku. You must call in your refills through AudioCare at 1-800 . Some military pharmacies may stock your specialty drug. The TRICARE Uniform Formulary (UF) is a list of brand name and generic drugs and supplies that TRICARE covers. NEW PHARMACY PROCESS MANDATORY PRESCRIPTION DROP-OFF & CALL-IN REFILL. Now you can reduce your wait time at the pharmacy for new or renewal prescriptions. Electronic prescriptions are sent using a private, secure, and closed network. En cas de besoin, veuillez contacter le numro dassistance rserv aux membres figurant sur votre carte didentification. Per ottenere assistenza, si rivolga al Servizio soci al numero indicato sulla Sua tessera di identificazione. Please visit https://my.mhsgenesis.health.mil/pages/home. . You can use the TRICARE Formulary Search Tool to search for specific drugs and to see whether they are available through the TRICARE pharmacy benefit and if they are, what you will pay. Find theright contact infofor the help you need. Tawagan ang numero ng Member Services (Mga Serbisyo para sa Miyembro) na nasa inyong ID kard para sa tulong. URAC Accredited Pharmacy Benefit Management, Expires 11/01/2025, URAC Accredited Mail Service Pharmacy Expires 11/01/2023, The National Committee for Quality Assurance. If you choose this option, you will pay the in-network retail copayment. All efforts are made to maintain an accurate and up to date formulary reference which coincides with the latest official VA formulary data sources. Log in to review medication coverage and compare pricing across retail pharmacies. 7700 Arlington Boulevard The prescription was filled at another military medical facility. Suite 5101 All rights reserved. Deployment Prescription Program NOTE: The CENTCOM Formulary and the Joint Deployment Formulary A core list of pharmaceutical items that are required for theater-level care for the first 30 days of contingency operations. Sie haben das Recht, diese Informationen und Hilfe in Ihrer Sprache kostenlos zu erhalten. Such hyperlinks are provided consistent with the stated purpose of this website. Such hyperlinks are provided consistent with the stated purpose of this website. You can fill prescriptions at no cost from our pharmacy. Although the DHA may or may not use these sites as additional distribution channels for Department of Defense information, it does not exercise editorial control over all of the information that you may find at these locations. Learn how much youll pay, where you can get your prescriptions filled, and so much more. Such hyperlinks are provided consistent with the stated purpose of this website. The appearance of hyperlinks does not constitute endorsement by the DHA of non-U.S. Government sites or the information, products, or services contained therein. Prescription drugs may be covered under the pharmacy benefit or the medical benefit. The formulary is: Developed by the Department of Defense (DOD) Pharmacy and Therapeutics (P&T) Committee. The TRICARE Formulary Search Tool mini-campaign aims to educate beneficiaries on the information found when using the search tool at. email@example.com. Crosland Discusses Dawn of Digital Health at HIMSS 2023, My priorities as a combat support agency are about health of the force, and the redesign of our health care system is about health of our patient, said U.S. Army Lt. Gen. Crosland. Some documents are presented in Portable Document Format (PDF). The appearance of hyperlinks does not constitute endorsement by the DHA of non-U.S. Government sites or the information, products, or services contained therein. 30 day supply can be called in 7 days early, 60-day supply can be called in 14 days early, 90 day supply can be called in 21 days early. A PDF reader is required for viewing. The Food and Drug Administration (FDA) requires that all generic drugs pass strict testing to prove they are the same. Express Scripts and E logo are trademarks of Express Scripts Strategic Development, Inc. TRICARE is a registered trademark of the Department of Defense, Defense Health Agency. (Drive-thru pickup available until 5 pm), 1st and 3rd Wednesday of every month 7:00 a.m. to 11:00 a.m. www.tricare.milis an official website of the Defense Health Agency (DHA), a component of theMilitary Health System. You can also take advantage of date-specific scheduling to help you know when your specialty medication will arrive. Find theright contact infofor the help you need. All Rights Reserved. You should contact the pharmacy of your choice to ask if your medication is available. In the case of an emergency, site visitors would be able to visit the news page for addition information. These are substitutes for brand-name drugs. Were pleased to provide pharmacy services to all our patients. Additional information that can be found using the search tool includes: Formulary status of a prescription Avoid the peak hours of 10:30 a.m. - 1:30 p.m. Avoid Fridays or days after a pharmacy closure (example:federal holiday, third Thursday of the month, etc.). Some documents are presented in Portable Document Format (PDF). Call us at 301-677-8800, Option 4 to see if your drug is available. Please enter a valid email address, e.g. Plus, you will receive additional support from a team of social workers and patient care advocates ready to help you safely manage your medication therapy. Find theright contact infofor the help you need. A PDF reader is required for viewing. Find the right contact infofor the help you need. May karapatan kayong makuha ang impormasyong ito at matulungan kayo sa inyong wika nang libre. Patients who PCS to Fort Leavenworth from a non-MHS GENESIS site or retirees who have never filled prescriptions at Munson, may not be automatically registered in MHS GENESIS. After each review, some drugs may move from one category to another. We review and update the TRICARE Formulary each quarter. Tricare Isn't Covering a Treatment for Eating Disorders. Fr Hilfe rufen Sie die Nummer der Mitgliederbetreuung auf Ihrem Ausweis an. Medications are free when filled at a Military Pharmacy. You can get up to a 90-day supply of most medications at military pharmacies. Qu v c quyn nhn thng tin ny v c tr gip bng ngn ng ca qu v min ph. Electronic prescriptions sent by your provider must be activated by speaking with a technician at 321-494-8241 option 2, option 3. . Option 2: Call our refill line and ask to speak to staff member. Set up texts by logging in and going to Two-Step Verification in your Account. You can also transfer prescriptions from a network pharmacy to a military pharmacy, if it's available. Falls Church, VA 22042-5101, An official website of the United States government, 72d Medical Group - Tinker Air Force Base. The TRICARE Formulary Search Tool helps beneficiaries learn about their prescription, including where they can fill it, and how much they might pay. Pharmacy Guide Locations: MacDill Clinic Pharmacy 3250 Zemke Ave, Bldg 1078 MacDill AFB, FL 33621 Sabal Park Clinic Pharmacy Contact: TOL/Automated Phone Line TOLSecureMessaging.com Medical Appointment Line: 9208 King Palm Drive (813)828-2273 Tampa, FL 33619 Drive-Thru Pharmacy Refill Call-In Line: 7101 Kingfisher St 1-800-272-0201 Starting on June 28, 2017, TRICARE will no longer include the drug Nexium in the preferred, or formulary, drug list, and it will no longer be available in military hospitals and clinics. All beneficiaries must refill certain maintenance drugs through home delivery or at military pharmacies. The process for picking up prescriptions for someone else may vary by pharmacy. . Updated quarterly >>View Recent Formulary Changes You can search the TRICARE Formulary to: The Knowledge Gap Campaign fills the beneficiarys educational needs regarding TRICARE Pharmacy benefits, which will improve the quality of health care provided. Managing your prescriptions can be tricky, but the TRICARE Formulary Search Tool can help! The TRICARE Formulary Search Tool can tell you: Formulary status (generic drug, brand-name drug, non-formulary drug, noncovered drug), Where the prescription can be filled (home delivery, local network pharmacy or military pharmacy) and any applicable copayments, Coverage details and limitations, such as prior authorization or medical necessity forms. 7700 Arlington Boulevard Hy gi s Dch v Thnh vin trn th ID ca qu v c tr gip. VA Formulary Advisor is a resource for VA and Non-VA users to easily search for VA National formulary information. . Qu v c quyn nhn thng tin ny v c tr gip bng ngn ng ca qu v min ph. 2023 Express Scripts. Alternative medications, including costs. The TRICARE Formulary is a list of brand-name and generic drugs available through the TRICARE pharmacy benefit. Call the Express Scripts Member Choice center at 1-877-882-3335 to learn more about prescription transfers. Vous avez droit dobtenir ces informations ainsi quun service dassistance gratuit dans votre langue. The most recent prescription label is presented. Under the fiscal 2022 National Defense Authorization Act, or NDAA, Tricare is supposed to cover inpatient and outpatient care Another Outage Hits Troubled Records System at VA, DoD Health Facilities, Defense Department Sticking with TriWest to Run Tricare West Region, Take Control of Tricare Select Costs by Knowing the Provider Types. The tool is available on the Express Scripts website at www.esrx.com/tform. Military Pharmacy You can fill your prescriptions at military pharmacies for free: Military pharmacies stock drugs on the Basic Core FormularyA list of drugs that are available at all full-service military pharmacies. A search can tell you: To start your search, youll need to put in the brand name or generic name of the drug and then select the strength prescribed, as well as your gender and age. ID . There is no cost to fill covered specialty prescriptions at a military pharmacy. Your Pharmacy Options. Were pleased to provide pharmacy services to all our patients. 2. These drugs have a higher copayment and generally are only available via home delivery. All rights reserved. The Way You Access Your Express Scripts Account Has Changed. Or use your smartphone to scan your pharmacys unique QR code. It will include instructions on how to get your prescription. Youll get a letter from Express Scripts if you have a prescription for a formulary drug thats changing to a non-formulary drug. (Closed in the afternoon for training), Closed on weekends, holidays and AFMC family days, Tinker Air Force Base You may also choose to fill your specialty medication at another in-network retail pharmacy. The TRICARE Formulary is a list of generic and brand-name prescription drugs that we cover. To refill a prescription, please call 321-494-8739. Zadzwo pod numer Dziau Obsugi Czonkw znajdujcy si na Twojej legitymacji w celu uzyskania pomocy. Although the DHA may or may not use these sites as additional distribution channels for Department of Defense information, it does not exercise editorial control over all of the information that you may find at these locations. Usted tiene derecho a recibir esta informacin, as como ayuda, en su idioma de manera gratuita. Prescription drugs fall into four categories: These categories follow industry standards. All Rights Reserved. DS. Such hyperlinks are provided consistent with the stated purpose of this website. 800-272-0201. Share this on your social media platforms to educate your patients at the local level. Note:You may bring a paper script to your pharmacy. Suite 5101 You can fill your prescriptions at military pharmacies for free, if they carry the drug(s): Military pharmacies are usually at a military hospital or clinic, but someare free-standing pharmacies located elsewhere on the base. The appearance of hyperlinks does not constitute endorsement by the DHA of non-U.S. Government sites or the information, products, or services contained therein. Filling Prescriptions Our Pharmacy waiting area inside the facility is currently closed to observe social distancing guidelines due to the COVID-19 pandemic. If your medication is not available at the base pharmacy, you can use the TRICARE Mail Order Pharmacy Program (TMOP) for home delivery, or a local network pharmacy; co-pays may apply. Drug Take Back Program Electronic Prescribing Military pharmacies The amount you pay for the excluded drug won't apply to your catastrophic cap. TRICARE provides prescription drug coverage with most TRICARE health plans. The Satellite Pharmacy can help by processing refills and prescriptions written by non-military providers. En cas de besoin, veuillez contacter le numro dassistance rserv aux membres figurant sur votre carte didentification. How will I know my prescription is ready? For prescriptions that are ready on the Pharmacys shelf, please use the Pick-Up window, located at Window #7 in the lobby, for expedited service (no ticket from the kiosk required). Search the List of Maintenance Drugs to see if you have a prescription that should be transferred to the Maxwell AFB Pharmacy or via home delivery. This includes prescriptions for both controlled substances (CII-V medications) and non-controlled substances. Rele nimewo Svis Manm ki sou kat idantifikasyon w lan pou jwenn d. How can I use Q-Anywhere for my new prescription? This process helps protect your personal information. Beneficiaries can fill their prescriptions through home delivery, the military hospital or clinic or a retail pharmacy. Learn how much youll pay, where you can get your prescriptions filled, and so much more. Lei ha il diritto di ottenere queste informazioni e assistenza nella Sua lingua gratuitamente. While there are no costs for prescriptions here at Maxwell AFB, there are costs for filling prescriptions via home delivery or at network pharmacies for all non-active duty beneficiaries: Ou gen dwa pou jwenn enfmasyon sa a ak d nan lang ou gratis. Suite 5101 You can receive up to a 90-day supply for most drugs. Download a PDF Readerorlearn more about PDFs. Please note that not all formulary medications will be routinely stocked at the pharmacy and may need to be ordered in. All rights reserved. Closed the third Wednesday of every month from 11:30 a.m. to 4:30 p.m. for training. You can . TRICARE is a registered trademark of the Department of Defense (DoD),DHA. With Q-Anywhere, you can text your participating military pharmacy to activate a new prescription. TRICARE has four pharmacy options. Although the DHA may or may not use these sites as additional distribution channels for Department of Defense information, it does not exercise editorial control over all of the information that you may find at these locations. TheTRICARE Formularyis a list of generic and brand-name prescription drugs that we cover. Basic Core Formulary All military pharmacies have a standardized Basic Core Formulary. The TRICARE Formulary Search Tool helps you learn about your prescription, including where you can fill it, and how much you might pay. . Please allow one duty day for the pharmacy to process your activation request or respond to your question(s). The TRICARE Formulary is a list of generic and brand-name prescription drugs covered by TRICARE. The TRICARE Formulary Search Tool helps beneficiaries learn about their prescription, including where they can fill it, and how much they might pay. TRICARE Formulary Search Tool. Is prescribed for an amount more than the normal limit. Some military pharmacies offer Q-Anywhere services. Express Scripts has launched a two-step verification process which requires you to verify your identity with a single-use code that well send via email. 813-828-5367 813-828-2273. TRICARE is a registered trademark of the Department of Defense (DoD),DHA. TRICARE covers most prescription drugs approved by the Food and Drug Administration (FDA). The TRICARE Formulary Search Tool will also advise as to any quantity or day supply limitations associated with the drug in question. If the 1st or 15th falls on a federal holiday or weekend . You may need pre-authorization for your prescription if it: Check theTRICARE Formularyto see if you need pre-authorization. You can wait for it to be filled, or drop it off and pick it up later. You can get prescriptions filled for excluded drugs, but you have to pay the full cost of the drug. If you use theUS Family Health Plan, you have a separate pharmacy coverage. www.tricare.milis an official website of the Defense Health Agency (DHA), a component of theMilitary Health System. www.tricare.milis an official website of the Defense Health Agency (DHA), a component of theMilitary Health System. The Apple logo and App Store are trademarks of Apple Inc. Google Play and the Google Play logo are trademarks of Google LLC. Express Scripts Pharmacy Home Delivery Some drugs are covered but not preferred, and are categorized as Non-Formulary. Hy gi s Dch v Thnh vin trn th ID ca qu v c tr gip. ID . This pharmacy bag insert shows that the formulary search tool can help beneficiaries find prescription-related information. Delays may occur on the phone line. A PDF reader is required for viewing. Please note: Beneficiaries can file a claim for a partial reimbursement of the cost of their medication when filling at a non-network pharmacy. Although the DHA may or may not use these sites as additional distribution channels for Department of Defense information, it does not exercise editorial control over all of the information that you may find at these locations. A PDF reader is required for viewing. All rights reserved. For more information regarding medication availability, please visit https://www.express-scripts.com/frontend/open-enrollment/tricare/fst/#/formularyPricing/home. Prescription drugs may be covered under the pharmacy benefit or the medical benefit. A great way communicate with pharmacy staff or activate or refill a medication is by signing up for secure messaging. The appearance of hyperlinks does not constitute endorsement by the Department of Defense of non-U.S. Government sites or the information, products, or services contained therein. Additional information that can be found using the search tool includes: Expand for key messages and talking points you can use locally to communicate about the TRICARE Formulary Search Tool. ALL PRESCRIPTIONS MUST BE DROPPED-OFF, STARTING TUESDAY, 18 JANUARY 2022 Prescriptions dropped-off BEFORE 1200hrs will be ready for pick up after 1400hrs the same day. Some documents are presented in Portable Document Format (PDF). Are you unable to get to a military pharmacy? A civilian TRICARE-authorized providerAn authorized provider is any individual, institution/organization, or supplier that is licensed by a state, accredited by national organization, or meets other standards of the medical community, and is certified to provide benefits under TRICARE. . Ou gen dwa pou jwenn enfmasyon sa a ak d nan lang ou gratis. Information that can be found using the TRICARE Formulary Search Tool include: Where your prescriptions can be filled (home delivery, local network pharmacy or military pharmacy) and any applicable copayments, Coverage details, such as prior authorization forms, medical necessity forms or other limitations. OK73145-8102. www.tricare.milis an official website of the Defense Health Agency (DHA), a component of theMilitary Health System. 7700 Arlington Boulevard . Maxwell AFB Pharmacy now offers remote pharmacy check-in using Q-Anywhere. email@example.com. Your specialty medication may be eligible for home delivery from Express Scripts Pharmacy. Falls Church, VA 22042-5101, An official website of the United States government, 42d Medical Group - Maxwell Air Force Base, Don't forget to keep your family's information up-to-date in, Hosted by Defense Media Activity - WEB.mil, Have your doctor send prescriptions to us electronically at. www.tricare.milis an official website of theDefense Health Agency (DHA), a component of theMilitary Health System. If you have a prescription from a TRICARE network or non-network doctor, you may fill it here, as long as its available on our Basic Core Formulary.
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military pharmacy formulary list 2023