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TRICARE Medications: Greater Pharmacy Choice and Protection from Hidden Costs

This act gives TRICARE beneficiaries more freedom to choose where they purchase non-generic medications. It also establishes payment rules for local pharmacies to improve access to medicine, especially in rural areas.
Key points
Beneficiaries can choose to fill non-generic maintenance prescriptions at retail pharmacies.
Pharmacies must be reimbursed based on the actual cost of the drug plus a professional dispensing fee.
Middlemen are prohibited from charging pharmacies hidden, retroactive, or point-of-sale fees.
Mandatory annual audits will check if pharmacy networks are adequate and accessible in underserved areas.
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Status:
Introduced
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Additional Information
Rx ACCESS Act
Print number: S 4106
Sponsor: Sen. Cotton, Tom [R-AR]
Process start date: 2026-03-17