I 
110TH CONGRESS 
1ST SESSION H. R. 2319 
To establish a Mail-Order Pharmacy Pilot Program. 
IN THE HOUSE OF REPRESENTATIVES 
MAY 15, 2007 
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. 
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 educate and motivate bene-
ficiaries to voluntarily increase their use of the TRICARE 
mail-order pharmacy. 
(b) SCOPE OF PILOT PROGRAM.—The pilot program 
shall include at least 2,000 eligible beneficiaries in each 
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TRICARE region, of whom at least 1,000 in each 
TRICARE region shall be enrolled in Medicare Part B. 
Beneficiaries chosen to participate in the pilot program 
should be those who have filled prescriptions for one or 
more maintenance medications in the TRICARE retail 
pharmacy system and who have not previously used the 
TRICARE mail-order pharmacy. 
(c) DURATION OF PILOT PROGRAM.—The pilot pro-
gram shall begin no later than March 1, 2008, and shall 
continue for two years. 
(d) ADMINISTRATION
OF PILOT PROGRAM.—The 
Secretary shall consult with representatives of beneficiary 
associations in designing, executing, and evaluating the re-
sults of the pilot program, which shall, at a minimum— 
(1) offer mail-order medications within the 
TRICARE formulary to pilot program participants 
at a beneficiary copayment of zero; 
(2) provide each beneficiary chosen for the pilot 
program an individual notification letter explaining 
the advantages to the beneficiary in terms of the 
convenience of home delivery and cost savings; 
(3) provide a personalized summary for each 
such beneficiary indicating the savings such bene-
ficiary personally would have realized had the bene-
ficiary used the mail-order system for the specific 
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medications such beneficiary was prescribed during 
a previous 12-month period; 
(4) provide simplified application and instruc-
tion guidelines and such other information as the 
Secretary deems useful to facilitate the beneficiary’s 
expedited use of the mail-order pharmacy; and 
(5) survey beneficiaries selected for the pilot 
program to determine members’ understanding of 
and satisfaction with the mail-order pharmacy pro-
gram, the factors that motivated them to use or not 
use the mail-order pharmacy program, the specific 
reasons for any dissatisfaction with the mail-order 
pharmacy program, the extent to which they found 
the Secretary’s instruction materials helpful, the ex-
tent to which they would recommend other bene-
ficiaries’ use of such program, and suggestions for 
ways to further increase beneficiaries’ use of the 
mail-order pharmacy. 
(e) REPORTS.—The Secretary shall provide reports 
to the Committees on Armed Services of the Senate and 
House of Representatives on October 1, 2008, April 1, 
2009, and October 1, 2009, to include— 
(1) the extent to which beneficiaries selected for 
the pilot program shifted their use between phar-
macy venues; 
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(2) the extent to which such behavior changes 
affected pharmacy costs for the Department of De-
fense and the beneficiaries, respectively; 
(3) summaries of beneficiary survey results, to 
the extent they are available on the date of each re-
port; 
(4) an assessment of the effect of reducing the 
mail-order copay to zero on pharmacy program costs 
and the advisability of expanding the pilot program 
initiative to include all eligible beneficiaries; and 
(5) any other analysis, observations, and rec-
ommendations the Secretary may deem appropriate. 
Æ 
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