US Family Health Plan
UPDATE
As of June 19, 2024, your MaxorPlus portal is now live and accessible through your Member Portal. Re-register your MaxorPlus portal for seamless, one-click access to your pharmacy needs. Navigate to My Health > Pharmacy to get started. This quick and easy process ensures you have the most convenient access to your prescriptions and pharmacy benefits!
While Brookshire Grocers and Super 1 Grocery are no longer available for prescription fulfillment, all other listed pharmacies are ready to serve you! We encourage you to utilize the alternative options provided, and rest assured, your health and well-being remain our top priority! We're committed to supporting you every step of the way.
Getting your prescriptions filled is convenient and easy. We offer an excellent pharmacy network.
The prescription drug benefit is comprehensive. You’ll find it’s one of US Family Health Plan’s most valuable benefits!
You can check here to see if your medication is on the TRICARE formulary.
- Covered medications
- Any restrictions and preferences for each medication
- Copayment information, including tiers
- If the medication requires a Prior Authorization or Medical Necessity Form
- Limits on medications
- Information about what medications must be tried first, before your medication can be approved (this is called step-therapy)
How to Use the TRICARE Search Tool User Guide
The TRICARE Formulary Updates are:
- Developed by the Department of Defense (DOD) Pharmacy and Therapeutics (P&T) Committee
- Updated Quarterly
You can get your prescription filled at:
Maxor Pharmacies Benefits
- Overall satisfaction rating for Maxor Pharmacies was 98.6% in 2019, compared to the national average of 84.7%
- Short wait times
- Extended patient counseling by appointment
- CDC approved vaccine available for FREE
- Low cost OTC and vitamins for USFHP members
- Pharmacists available for formulary assistance
- Provides detailed counseling to promote better health
- Notifications via text, phone, or e-mail
- Refill reminders
- Prescription ready for pick-up
- Delay in pick-up
- Pharmacy advocators available to assist in pharmacy benefit
Pharmacy Co-payments
Type of Pharmacy |
Formulary Drugs |
Non-Formulary |
Non-Covered |
|
Generic |
Brand Name |
|
|
In-Network (up to 30-day supply) |
$14 |
$38 |
$68 |
Full cost of drug |
MAXOR Mail Order & Walk-In
Maxor Pharmacies (Up to 90-day suppply) |
$12 |
$34 |
$68 |
Not available |
Out-of-Network (up to 30 -day supply) |
50% of total cost applies after Point of Service (POS) deductible met |
50% of total cost applies after POS deductible met |
50% of total cost applies after POS deductible met
|
Full cost of drug |
The copayments using Mail Order (MXP) remain the lowest copayments available. In addition to lower copayments, you can fill up a 90-day supply of medication using Mail Order (MXP). This can save you over $600 per prescription per year in copayments. If you are not using Mail Order (MXP), call Maxor customer service toll free at 866-408-2459 and ask how to move your prescriptions over.
Copay Increase effective January 1, 2024
USFHP Beneficiary Pharmacy Copay Increase Effective January 1, 2024.
On January 1, 2024, all copayments for prescription drugs for US Family Health Plan will increase. These changes are required by law and affect TRICARE beneficiaries who are not active duty service members.
View copay information here
TRICARE is a registered trademark of the Department of Defense, Defense Health Agency. All rights reserved.