# Civilian Health and Medical Program of the Uniformed Services (CHAMPUS)/TRICARE: Implementation of the Pharmacy Benefits Program
> **US Department of Defense** · Final rule. · Published 2004-04-01 · Effective 2004-05-03 · 69 FR 17035
## Document
- **Document number:** 04-7129
- **Category:** personnel
- **Sub-agency:** US Department of Defense
- **Federal Register citation:** 69 FR 17035
- **CFR reference:** 32 CFR 199
- **Publication date:** 2004-04-01
- **Effective date:** 2004-05-03
## Abstract

This final rule implements section 701 of the National Defense Authorization Act for Fiscal Year 2000. The rule establishes procedures for the inclusion of pharmaceutical agents on a uniform formulary based upon relative clinical effectiveness and cost effectiveness; establishes the cost-sharing requirements including a tiered co-payment structure for pharmaceutical agents based on their designation as a generic, formulary or non-formulary pharmaceutical agent; establishes procedures to assure the availability of pharmaceutical agents not included on the uniform formulary to eligible beneficiaries at the non- formulary tier; establishes procedures to receive pharmaceutical agents not included on the uniform formulary, but considered clinically necessary, under the same terms and conditions as an agent on the uniform formulary; establishes procedures to assure the availability of clinically appropriate non-formulary pharmaceutical agents to members of the uniformed services; establishes procedures for prior authorization when required; and establishes a Department of Defense Pharmacy and Therapeutics Committee (DoD P&TC) and a uniform formulary Beneficiary Advisory Panel. Other administrative amendments are also made to clarify specific policies that relate to the program.

## Source
- [Federal Register document](https://www.federalregister.gov/documents/2004/04/01/04-7129/civilian-health-and-medical-program-of-the-uniformed-services-champustricare-implementation-of-the)
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