The DoD Final Rule, effective August 26, 2015, clarifies the process for formulary placement of FDA-approved innovator drugs within the TRICARE Pharmacy Benefits Program. The Pharmacy and Therapeutics (P&T) Committee has up to 120 days to recommend tier placement for new molecular entities, new active ingredients, new dosage forms, and new combinations. Innovator drugs approved on or after the effective date will have a pending status and be treated as non-formulary. The P&T Committee evaluates these drugs based on clinical and cost-effectiveness data, with the DHA Director providing final approval. Manufacturers can submit price concessions during three solicitation windows. Innovator drugs are generally designated as Tier 3, requiring medical necessity for broader access or lower copays, and the DoD will not accept clinical presentations due to volume.
This government file outlines instructions for completing price appendix spreadsheets for federal government RFPs, specifically for BPA, ADP (non-FAMP Discount), and ADP (WAC Discount) categories. The document emphasizes reading formulary notes and filling in only yellow cells, with other cells being locked or auto-calculated. Key instructions include entering package size for BPA, non-FAMP prices for ADP (non-FAMP Discount), and WAC prices for ADP (WAC Discount). The file details how to indicate non-submission for a quote and provides calculations for price per unit and total calculated refund. It specifies that tables are provided for 10 NDCs, with options to request more if needed. Contacting POCs on the RFQ document is advised for questions or to submit more than 10 NDCs.
The Department of Defense (DOD) Uniform Formulary Class for PULMONARY-1 AGENTS, specifically for IDIOPATHIC PULMONARY FIBROSIS, outlines requirements for Blanket Purchase Agreements (BPAs) and Additional Discount Programs (ADPs). Quotes for these agents are due by December 9, 2025, in advance of the P&T Committee Meeting on February 4-5, 2026. Manufacturers are instructed to submit fully executed signature pages along with quote information. The documents detail scenarios for Uniform Formulary and Non-Formulary drugs under BPAs, and Tier 2 and Tier 3 drugs under ADPs for TRICARE Retail Refund. The P&T Committee will review these agents according to 32 CFR 199.21(g)(5) and may apply Prior Authorization (PA), consider tier designations for agents without existing brands, and identify candidates for special reimbursement methods or complete exclusion from the TRICARE pharmacy benefit program. Agents for which an RFQ is not submitted or selected may be designated non-step preferred.
The document outlines the Department of Defense (DOD) Uniform Formulary and Additional Discount Program for "GYNECOLOGICAL AGENTS MISCELLANEOUS," with a P&T Committee Meeting scheduled for February 4-5, 2026, and quotes due by December 9, 2025. It details the process for newly approved drugs, including "NO QUOTE" options for uniform and non-formulary scenarios in the Blanket Purchase Agreement Appendix. The Additional Discount Program Appendix includes TRICARE Retail Refund information for Tier 2 and Tier 3 drugs, with calculations based on non-FAMP and Federal Ceiling Price (FCP), and, for certain products, Wholesale Acquisition Cost (WAC) discounts. The P&T Committee will review these agents to determine formulary status, potential for prior authorization, special reimbursement methods, and possible exclusion from the TRICARE benefit. Manufacturers are reminded to submit fully executed signature pages with quote information.
The document outlines the Department of Defense (DOD) Uniform Formulary and Additional Discount Programs for "ENDOCRINE AGENTS MISCELLANEOUS" drugs, slated for review at the P&T Committee Meeting on February 4-5, 2026. Quotes for these programs are due by December 9, 2025. Manufacturers are invited to submit quotes for both formulary (Uniform and Non-Formulary) and retail refund scenarios (Tier 2 and Tier 3). The P&T Committee may consider prior authorization, special reimbursement methods, preferential status for non-generic agents (Tier 1), or complete exclusion from the TRICARE pharmacy benefit. Manufacturers must submit fully executed signature pages with their quotes, and agents without submitted or selected RFQs may be designated "non-step preferred (after-step)."
The Department of Defense (DOD) Uniform Formulary Class for ATOPY is soliciting quotes for newly approved drugs, with a P&T Committee Meeting scheduled for February 4-5, 2026, and quotes due by December 9, 2025. This request outlines requirements for both Blanket Purchase Agreements (BPAs) and an Additional Discount Program (ADP). Manufacturers are invited to submit quotes for both uniform and non-formulary drugs under the BPA, with specific NDC numbers provided. The ADP focuses on TRICARE retail refunds for Tier 2 and Tier 3 drugs, with calculations based on Federal Ceiling Price (FCP) and Wholesale Acquisition Cost (WAC) where applicable. Prior Authorization (PA) may apply, potentially including generic agents. The P&T Committee may recommend preferential status for non-generic agents or even exclude certain drugs from the TRICARE pharmacy benefit. Manufacturers must submit fully executed signature pages with their quotes, and a red highlight indicates an intent not to submit a quote.
The Department of Defense (DOD) Uniform Formulary is seeking quotes for Skeletal Muscle Relaxants and Combinations, specifically Tricyclic Antidepressants, to be reviewed at the P&T Committee Meeting on February 4-5, 2026. Quotes are due by December 9, 2025. This request outlines terms for Blanket Purchase Agreements and Additional Discount Programs. Manufacturers are required to submit fully executed signature pages along with quote information. The document specifies that agents will be reviewed for formulary status, potential preferential status (Tier 1), or complete exclusion from the TRICARE pharmacy benefit program. Prior Authorization may apply, and special reimbursement methods may be considered to encourage the use of high-value products. The price per unit for a given dosage form and strength must be consistent across all package sizes. The Wholesale Acquisition Cost (WAC) will be used for products without a Federal Ceiling Price (FCP), such as diabetic supplies, with the WAC discount remaining static throughout the agreement.
The Department of Defense (DOD) Uniform Formulary is soliciting quotes for Pain Agents, specifically NSAIDs, for its P&T Committee Meeting on February 4-5, 2026. Quotes are due by December 9, 2025. The request includes two appendices: a Blanket Purchase Agreement for newly approved drugs and an Additional Discount Program Appendix. For both, manufacturers are asked to confirm their intent if not submitting a quote for specific NDC numbers under Uniform Formulary/Non-Formulary and Tier 2/Tier 3 categories, respectively. Notes emphasize the submission of fully executed signature pages with quotes. The formulary class may involve prior authorization and considerations for tier designation based on value and potential for special reimbursement. The P&T Committee may also recommend preferential status or complete exclusion from TRICARE pharmacy benefits. Pricing for the Blanket Purchase Agreement must be consistent across all package sizes within a given dispensing venue. For the Additional Discount Program, the TRICARE Retail Refund calculations are detailed, including Federal Ceiling Price (FCP) and Wholesale Acquisition Cost (WAC) discounts. Manufacturers are reminded that the quoted additional refund percentage remains static, but the calculated refund may change annually with non-FAMP updates, and WAC discounts apply to products without FCP.
The Department of Defense (DOD) Defense Health Agency (DHA) has issued a Request for Quotation (RFQ) for pharmaceutical agents to be included on its Uniform Formulary (UF). This RFQ outlines the process for manufacturers to submit offers that reduce DOD costs for pharmaceutical agents, which will be considered by the DOD Pharmacy and Therapeutics (P&T) Committee. The committee evaluates the clinical and cost-effectiveness of drugs to classify them for cost-sharing purposes. Manufacturers can submit two types of quotes: UF Blanket Purchase Agreement (BPA) price quotes for Military Treatment Facilities (MTFs) and TRICARE Mail Order Pharmacy (TMOP), and UF Additional Discount Program (ADP) refund quotes for the TRICARE retail network. The RFQ details submission steps, general information, important dates, and evaluation criteria, emphasizing the consideration of both clinical effectiveness and cost in formulary decisions. It also includes appendices for submission checklists, BPA and ADP agreements, and NDC price lists.