No CVS Pharmacy, But Tricare Still Uses Them for This

Prescription infant formula through Tricare http://wp.me/p1d7d0-9UP

You’ve heard by now that Tricare no longer has a contract with CVS pharmacies, including those in Target stores. That means you can no longer use CVS to purchase medication you want covered by Tricare. But what about prescription infant formula?

Here’s three things you need to know about the Tricare pharmacy changes.

However, there are a few loop holes here. As we reported earlier, Minute Clinics located within CVS stores are still a part of the Tricare urgent care network. And while the switch also impacts specialty medications provided through mail order by CVS’s subsidiary Coram, it does not impact prescription infant forum provided via Coram. 

Why? Because prescription infant formula isn’t considered medication by Tricare. It’s considered “durable medical equipment.”

Huh? Durable medical equipment? 

Whether or not that makes sense, specialty foods provided under a prescription and covered by Tricare are not considered “medicine,” but rather “equipment.” I can’t explain why this is the designation. Let’s just call this one of the many complexities of healthcare policy that defies human understanding. 

That means if you receive prescription infant formula through Coram, thought this whole thing would mean a provider switch and don’t understand why you haven’t been notified yet, you’re in the clear. You will continue to use Coram.

“While CVS is no longer part of the Tricare pharmacy network, Coram is still a Tricare network medical provider, generally durable medical equipment,” Tricare officials told me. Durable medical equipment requires a prescription. If the formula is prescribed under the medical benefit, Coram can continue to fill the prescription.”

The more you know.

About the Author

Amy Bushatz
Amy is the editor in chief of Military.com’s spouse and family blog SpouseBuzz.com. A journalist by trade, Amy also covers spouse and family news for Military.com where she is the managing editor of spouse and family content. An Army wife and mother of two, Amy has been featured as a subject matter expert on CNN.com, NPR, Fox News, NBC, CBS, ABC and BBC as well as in the New York Times, Wall Street Journal and Washington Post. Follow her on twitter @amybushatz.