2. Table of Contents
Welcome Letter from Flight Commander 4
General Pharmacy Information 5
How do I get my Refills? 6
Pharmacy Benefits 7
New to our Formulary 9
Formulary Listing by alphabetical order (generic names) 10
Listing by Common Use (not a complete listing) 21
Quick Reference Phone Guide 22
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3. Welcome to Edwards AFB and the 95th Medical Group!
We, the military and civilian pharmacy staff at the 95th Medical Group, are always striving to
provide you and your family the best pharmaceutical care available. All of us are committed to
providing quality services, and to ensure that the care you receive is and continues to be the best
you’ve ever experienced.
The pharmacy handbook/frequently asked questions has been created to hopefully make
accessing pharmacy services easier and less confusing for beneficiaries. While it does not
answer every question, it does provide guidance on most of our services.
I would like to extend on behalf of my staff and self, a special thank you to all of you in
uniform who are defending our country and to all the veterans who have made major
contributions to our nation. We also thank the families who have and continue to support all of
you.
Vanthy Pham
Vanthy B. Pham, Maj, USAF, BSC, PharmD
Diagnostics and Therapeutics Flight Commander
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4. Pharmacy General Information
What are the hours for the Pharmacy?
Pharmacy hours are below.
Monday 0730-1630
Tuesday 0730-1630
Wednesday 0730-1630
Thursday 0730-1630
Friday 0730-1630
Closed the first Monday of each month, weekends, federal holidays, AFMC approved
family days and Military down days.
Where is the Pharmacy?
The Pharmacy is located in the main clinic on 30 Nightingale Rd in building 5525.
It is located in the south end of the first floor.
Eligible beneficiaries include:
Active duty service members and their families
Activated National Guard and Reserve Members and their families (on Title 10 or Title
32 [federal] orders)
Retired service members and their families
Survivors, widows/widowers and certain former spouses
Medal of Honor recipients and their families
Beneficiaries enrolled in TRICARE Reserve Select or the Continued Health Care Benefit
Program
Other beneficiaries listed in DEERS as eligible for TRICARE, including foreign force
members and their families
When updating DEERS with your personal information, be sure to update your address with a
physical address.
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5. How do I get medication refills?
If you have an existing prescription that is still active with refills left, call the Pharmacy
at 661-277-9896. Prescriptions called into the refill line will be available for pickup within
two duty days at the main pharmacy or at the APM located in BX lobby (*certain medications
only*). If you present to the pharmacy window for a refill you may be asked to come back later
or the next duty day. Please make every effort to call in prescription refills to avoid delays.
Typically, if you’re running out of a medication (down to last refill or last set of doses), it
means your provider is expecting you to follow-up for a re-evaluation. Please make a follow-up
appointment prior to running out so your provider can see how you are doing.
If your prescription has expired or you have no refills left and you see a provider on base,
please call PCC at 661-277-7118 at least one week prior to running out of your medication.
Ask to leave a telephone consult for your provider’s nurse. Please have the name and dosage of
the medication ready to provide to the phone clerk, as it makes renewing your prescription
easier. As long as the provider determines that you do not need a follow-up appointment prior
to prescription renewal, your refill request will typically be taken care of within 72 business
hours.
If you see a civilian provider off base you will have to contact your provider for a new
prescription. The pharmacy does NOT accept fax or phone-in prescription orders or refills.
Any questions regarding your medications that can be handled by the pharmacy should be
directed to their staff at 661-277-9896 (option 1 clinic pharmacy, option 5 speak to pharmacy
personnel)
Can’t make it to the pharmacy during normal duty hours? Sign up today to use our
Automated Prescription Machine (APM) located in the BX food lobby to pick up your
prescription refills. The APM is available during BX hours including weekends.
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6. YOUR PHARMACY Benefits
All formulary medication at EDWARDS Pharmacy:
$0 cost for up to a 90 day Supply
Other Military Treatment Facility (MTF) Pharmacies
An MTF pharmacy provides those medications listed on its local formulary (drug listing). Most
MTF pharmacies accept prescriptions written by both civilian and military providers.
To check the availability of a particular drug, contact you’re nearest MTF if not stationed at
Edwards AFB in person or by phone.
TRICARE Mail Order Pharmacy (TMOP)
You can receive up to a 90-day supply* for most medications you take regularly (for instance,
drugs for high blood-pressure, asthma or oral contraceptives) using TMOP.
When you use the TMOP service you get:
• Savings: You can save up to 66% of retail costs, because your
co-payment for a 90-day supply is the same as for a 30-day supply at a retail pharmacy.
• Convenience and safety: Your medication is mailed to your home in a weather-resistant
pouch for your privacy and protection and there is no charge for postage.
To use the TMOP service, just follow these steps:
1) Ask your doctor for a prescription (for up to a 90-day supply*,plus refills for up to one year,
if appropriate).
2) Complete the TMOP registration/order form which can be downloaded from their website at:
http://www.express-scripts.com/TRICARE/
3) Insert your prescription, completed TMOP registration form, and co-payment, if needed, into
the pre-addressed, postage paid envelope (attached to the registration form — use this envelope
only for your TMOP registration) and mail them. Your prescriptions will be mailed to you
within 14 days.
• For more details on TMOP, please visit www.express-scripts.com/TRICARE or call 1-
877-363-1303.
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7. DoD TRICARE Retail Pharmacy (TRRx) Network
Another option for filling your prescription is to use a DoD TRRx network retail pharmacy.
Simply give the network pharmacist your written prescription and your uniformed services
identification (ID) card.
You will pay a co-payment of:
$0 for formulary generic for 30-day supply
$9 for formulary brand-name for 30-day supply
$25 for non-formulary drugs for 30-day supply.
To find a DoD TRICARE Retail Pharmacy near you:
• Visit www.express-scripts.com/TRICARE.
The online pharmacy locator is updated on the first day of each month. If a pharmacy joined
after the first day of the month, it might not appear on the locator until the following month.
• Call 1.877.363.1303).
Non-Network Retail Pharmacy
Your medications will cost the most at non-network retail pharmacies because they do not
belong to the DoD TRRx network. At non-network pharmacies you will pay full price for your
medication. To be reimbursed for non-network pharmacy claims, you must fill out the enclosed
claim form (DD 2642),attach the required paperwork as described on the DD2642,and mail it
to:
Express Scripts
P.O. Box 66518
St. Louis, MO 63166-6518
You can download additional claim forms (DD 2642) at www.express-scripts.com/TRICARE
or www.tricare.osd.mil/ pharmacy/claims.cfm. Claim forms may also be obtained at
TRICARE Service Centers and MTFs.
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8. New to our formulary!
Budesonide/formoterol (Symbicort) for Asthma or COPD
Cetirizine (Zyrtec) chewable tablets for allergies
Cetirizine/pseudoephedrine (Zyrtec-D) for allergies
Insulin glargine pen (Lantus SoloStar Pen) for diabetes mellitus
Scopalamine patches (Transderm Scop) for motion sickness
Tamsulosin (Flomax) for enlarged prostate or BPH
Valsartan (Diovan) for hypertension
Valsartan/HCTZ (DiovanHCT) for hypertension
Ciprofloxacin/Dexamethasone (Ciprodex) for ear infection
Famotidine (Pepcid) for heartburn, GERD
Fenofibrate 54mg and 160mg for hyperlipidemia (replacing Fenoglide)
Fenofibrate (Tricor) 48mg and 145mg for hyperlipidemia
Rovustatin (Crestor) for hyperlipidemia *DoD requires Prior Authorization
Mometasone/Formoterol (Dulera) Inhaler for asthma or COPD
Ergocalciferol (Vitamin D) 50,000 units for Vit D supplements
Calcium Carbonate + Vit D 500mg (Oscal+D) for calcium supplements
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9. Diclofenac (Voltaren) 1% topical gel for pain
Lidocaine (Lidoderm) 5% patch-for pain
Detemir (Levemir) Insulin-for diabetes
Pantoprazole (Protonix)-for GERD
Clindamycin (Cleocin T) 1% Pads-for acne
Aspart (Novolog FlexPen) Insulin Pen-for diabetes
No longer on formulary!
Rosiglitazone (Avandia) for diabetes
Rosiglitazone/Metformin (Avandamet) for diabetes
Ciprofloxacin/Hydrocortisone (CiproHC) for ear infection
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