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PRIOR-AUTHORIZATION OF (REVLIMIDTM) Maryland Pharmacy Program Tel#: 410-767-1455 or 1-800-492-5231 Option 3-Fax form to: 410-333-5398 (Incomplete forms will be returned) Patient Information Patient
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Start by downloading the Tricare Formulary 2022 PDF from a reliable source.
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Who needs Tricare Formulary 2022 PDF:

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Active duty service members and their families who are eligible for Tricare healthcare coverage.
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The TRICARE formulary is a list of prescription drugs that are covered by the TRICARE health plan. It includes both generic and brand-name medications.
Healthcare providers, pharmacies, and suppliers who wish to participate in TRICARE are required to file the TRICARE formulary.
Healthcare providers, pharmacies, and suppliers can fill out the TRICARE formulary by submitting the required information online through the TRICARE provider portal.
The purpose of the TRICARE formulary is to ensure that TRICARE beneficiaries have access to safe and effective prescription drugs at a reasonable cost.
The TRICARE formulary requires providers, pharmacies, and suppliers to report detailed information about the prescription drugs they offer, including drug names, dosages, and pricing information.
The deadline to file the TRICARE formulary in 2023 has not been announced yet. Providers, pharmacies, and suppliers should regularly check the TRICARE website for updates and announcements.
There is no specific penalty mentioned for the late filing of the TRICARE formulary. However, late filing may result in processing delays and potential exclusion from the TRICARE network.
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