The CHAMPVA Pharmacy Benefits fact sheet has more information about pharmacy benefits. In this case, you may not have a cost share if the medication is covered by your primary insurance as well as by CHAMPVA. Be sure to tell your pharmacy that you have both primary prescription coverage and CHAMPVA. If you have other health insurance with pharmacy coverage, including Medicare Part D, even though it is primary to CHAMPVA, you are still able to use an OptumRx pharmacy. Pharmacies that are a part of the OptumRx network will collect your 25% cost share/copay along with the annual deductible and send the claim to CHAMPVA for the remaining amount. You can use your local pharmacy in the OptumRx network for other prescription medications. *Refrigerated medications cannot be delivered to a post office box or outside of the continental United States. Prescribed, maintenance medication will be mailed to your home.*
–Veterans Health Information Exchange Program.Spina Bifida Health Care Benefits Program.
Indian Health Services/Tribal Health/Urban Indian.CHAMPVA In-house Treatment Initiative (CITI).Indian Health Service/Tribal Health Program.
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