arrow_back Back to App

Improved Drug Access, Pharmacy Choice, and Fair Pricing for TRICARE Users.

This law improves the TRICARE pharmacy program by giving eligible users more options for receiving non-generic maintenance medications, including the ability to use any retail pharmacy. It establishes rules to ensure local retail pharmacies are fairly reimbursed for drugs, aiming to stabilize the pharmacy network and improve access for beneficiaries. These changes are scheduled to take effect starting October 2026.
Key points
Starting October 2026, TRICARE users gain the right to choose any available method for receiving their non-generic long-term maintenance medications.
New minimum reimbursement standards are set for retail pharmacies, covering the actual cost of the drug plus a standard dispensing fee.
Pharmacy Benefit Managers (PBMs) are prohibited from imposing hidden, retroactive, or point-of-sale fees on TRICARE retail pharmacies.
Annual audits will assess the adequacy of the TRICARE pharmacy network and access, particularly in rural and underserved areas.
article Official text account_balance Process page
Introduced
Citizen Poll
No votes cast
Additional Information
Print number: 119_HR_6400
Sponsor: Rep. Kiggans, Jennifer A. [R-VA-2]
Lustra uses Artificial Intelligence. Verify details in source documents.
Summarized by: gemini-2.5-flash-preview-09-2025
Source data: api.congress.gov
AI work logs for this document launch

OFFICIAL LEGAL TITLE

Rx ACCESS Act

FREQUENTLY ASKED QUESTIONS

What is the official ID of this bill?

The official print number for this legislation is 119_HR_6400.

Which chamber initiated this legislation?

This legislation was initiated in the House of Representatives.

What are the main provisions?

Key points include:

  • Starting October 2026, TRICARE users gain the right to choose any available method for receiving their non-generic long-term maintenance medications.
  • New minimum reimbursement standards are set for retail pharmacies, covering the actual cost of the drug plus a standard dispensing fee.
  • Pharmacy Benefit Managers (PBMs) are prohibited from imposing hidden, retroactive, or point-of-sale fees on TRICARE retail pharmacies.
  • Annual audits will assess the adequacy of the TRICARE pharmacy network and access, particularly in rural and underserved areas.
What is the specific legal status?

The current status is Introduced.

Where can I read the full text of this legislation?

The full official text is available at: View full text

Who is the primary sponsor?

The primary sponsor is Rep. Kiggans, Jennifer A. [R-VA-2].

What is the latest detailed status?

The latest detailed status is: Referred to the House Committee on Armed Services.

Is this summary verified?

Yes. This content was analyzed by AI and verified by the Lustra Judge System on 2025-12-23.

CATEGORIES

Health Benefits