Delivering health services through appropriate prescription medications is vital to managing disease. The TRICARE benefit under the Military Health System (MHS) covers traditional prescription medications as well as individualized compounded medications for select drugs. Strategies are employed to ensure traditional prescription medications are clinically safe and effective as well as cost-effective. Over the past previous years, drug compounding fraud has been targeted on the TRICARE benefit. MHS has employed tools to manage compound drug prescriptions to ensure they are safe, effective and to help mitigate fraud. This presentation will discuss the history and evolution of compounding under the MHS.
Learning Objectives:
Describe the incidents that led to the significant increase in the cost of compound prescriptions under the Military Health System (MHS).
Identify drug compound spend and utilization trend under MHS.
Outline the compound management solution for screening of compounded drug ingredients implemented under MHS.
