I 
111TH CONGRESS 
1ST SESSION 
H. R. 806 
To establish a mail-order pharmacy pilot program for TRICARE beneficiaries. 
IN THE HOUSE OF REPRESENTATIVES 
FEBRUARY 3, 2009 
Mr. BILIRAKIS introduced the following bill; which was referred to the 
Committee on Armed Services 
A BILL 
To establish a mail-order pharmacy pilot program for 
TRICARE beneficiaries. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘TRICARE Mail-Order 
Pharmacy Pilot Program Act’’. 
SEC. 2. MAIL-ORDER PHARMACY PILOT PROGRAM. 
(a) REQUIREMENT.—The Secretary of Defense shall 
conduct a pilot program to— 
(1) educate eligible covered beneficiaries about 
the mail-order pharmacy available under TRICARE; 
and 
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(2) motivate such beneficiaries to voluntarily in-
crease use of the mail-order pharmacy. 
(b) SCOPE OF PILOT PROGRAM.—The pilot program 
shall include not less than 2,000 eligible covered bene-
ficiaries in each TRICARE region, of whom not less than 
1,000 in each TRICARE region shall be enrolled under 
part B of title XVIII of the Social Security Act. An eligible 
covered beneficiary chosen to participate in the pilot pro-
gram shall be an individual who— 
(1) has filled a prescription in the TRICARE 
retail pharmacy program for a medication intended 
for long-term use; and 
(2) has not used the mail-order pharmacy. 
(c) DURATION OF PILOT PROGRAM.—The pilot pro-
gram shall begin not later than October 1, 2009, and shall 
continue for two years. 
(d) ADMINISTRATION OF PILOT PROGRAM.—In ad-
ministering the pilot program, the Secretary of Defense 
shall— 
(1) offer mail-order medications within the uni-
form formulary to participants at no charge; 
(2) provide each participant a notification letter 
explaining the advantages of the mail-order phar-
macy, including convenience and cost savings; 
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(3) provide each participant with a personalized 
summary indicating the cost savings such partici-
pant would have realized had the participant used 
the mail-order pharmacy during the previous 12- 
month period; 
(4) provide each participant with simplified ap-
plication and instruction guidelines and such other 
information as the Secretary considers useful to en-
courage use of the mail-order pharmacy; and 
(5) survey participants to determine— 
(A) the understanding of and satisfaction 
with the mail-order pharmacy; 
(B) the factors that motivated the partici-
pant to use or not use the mail-order pharmacy; 
(C) the specific reasons for any dissatisfac-
tion with the mail-order pharmacy; 
(D) the extent to which the participant 
considers the information described in para-
graph (4) helpful; 
(E) the extent to which the participant 
would recommend to others the use of the mail- 
order pharmacy; and 
(F) suggestions for ways to further in-
crease use of the mail-order pharmacy. 
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(e) CONSULTATION.—The Secretary shall consult 
with representatives of beneficiary associations in— 
(1) designing and conducting the pilot program; 
and 
(2) evaluating the results of the pilot program. 
(f) REPORTS.—Not later than March 1, 2010, and 
each 180-day period thereafter for 1 year, the Secretary 
shall submit to the Committee on Armed Services of the 
House of Representatives and the Committee on Armed 
Services of the Senate a report on the pilot program, in-
cluding— 
(1) the extent to which participants increased 
their use of the mail-order pharmacy; 
(2) the extent to which the use of the mail- 
order pharmacy affected pharmacy costs for both the 
Department of Defense and participants; 
(3) summaries of the results of participant sur-
veys described in subsection (d)(5) (to the extent the 
results are available on the date of each report); 
(4) an assessment of the effect of eliminating 
the copayment for medications ordered through the 
mail-order pharmacy; 
(5) whether to expand the pilot program to in-
clude all eligible covered beneficiaries; and 
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(6) any other analyses, observations, and rec-
ommendations the Secretary considers appropriate. 
SEC. 3. DEFINITIONS. 
In this Act: 
(1) The term ‘‘eligible covered beneficiaries’’ 
has the meaning given such term in section 
1074g(g)(1) of title 10, United States Code. 
(2) The term ‘‘mail-order pharmacy’’ means the 
national mail-order pharmacy program required by 
section 1074g(a)(2)(E)(iii) of title 10, United States 
Code. 
(3) The term ‘‘participant’’ means an eligible 
covered beneficiary described in section 2(b) that is 
chosen to participate in the pilot program. 
Æ 
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