TRICARE Pharmacy Benefit Program Formulary Management Analysis.

摘要

The Military Health System's (MHS) is struggling with how to provide and sustain the current pharmacy benefit. In order to provide a safe, cost- effective pharmacy benefit, many companies, including the Department of Defense (DOD) have contracted with Pharmacy Benefit Managers (PBMs). Though methods of cost containment have been implemented, the cost of sustaining the pharmacy benefit continues to rise. A policy analysis of the DoD's Pharmacy Benefit Policy was conducted and three alternatives were suggested using Bardach's Eight Steps of Policy Analysis. The three alternatives are as follows: (1) Take no action or (2) increase tier co-payments and index annually or (3) implement health savings accounts (HSAs). Minor changes to the current Pharmacy Benefit Policy may ensure its continuation into the future.