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TRICARE Pharmacy: Uniform Formulary Medical Necessity Criteria forProvigil, Xyrem, $0, $9, $9. Formulary (Tier 1), ADHD agents*** Dexamphetamine IR, mixed amphetamine salts IR, methamphetamine IR, methylphenidate IR andActive duty copay always $0 in all points of service for all three tiers; TRICARE does not cover non-formulary medications for active duty service membersTRICARE Management Activity, a component of the Military Health System Skyline 5, Suite 810, 5111 Leesburg Pike, Falls Church, VA 22041-3206

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Modafinil (Provigil) Prior Authorization Request Form Quick ViewModafinil (Provigil) Prior Authorization Request Form. To be completed and signed by the prescriber. To be used only for prescriptions which are to be filled through the Department of Defense (Pharmacy (TMOP) OR the TRICARE Retail Pharmacy Program (TRRx). Express Scripts is the TMOP and TRRx contractor for DoD.Prior authorization criteria and a copy of this form are available at: http://www.tricare.osd.mil/pharmacy/prior_auth.cfm.

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