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Health Services

Pharmacy

The Lyster Army Health Clinic Department of Pharmacy would like to thank our beneficiaries eligible to visit and use our pharmacies. We continuously strive to and seek to implement new programs that improve both the quantity and quality of our services. The LAHC Pharmacy is dedicated to continue serving our patients and striving to meet their pharmaceutical needs within the DHA guidance during this COVID-19 pandemic. Prior Authorization criteria remains in effect for Hydroxychloroquine and Chloroquine.  BLUF - they are NOT approved for use for outpatient treatment or prophylaxis of COVID-19.  This Prior Authorization (PA) does not apply to inpatient use or FDA approved indications. Prior authorization for new and renewal prescriptions of Hydroxychloroquine MUST meet the following criteria: must have an indication of Systemic Lupus Erythematous (SLE), and the prescription must be written by a Rheumatologist, Infectious Disease or Dermatology.  All orders will be limited to a 30 day supply with refill as appropriate when the drug is available.  For outpatient prescriptions that do not meet these criteria, the pharmacy will assist in transferring the prescription to a pharmacy that may stock the medication.

Tricare Prior Authorization Request Form for hydroxychloroquine (Plaquenil)
TRICARE Prior Authorization Request Form for Chloroquine

TRICARE Formulary Search Tool

Use the TRICARE Formulary Search Tool to look-up your drug. A search can tell you:
  • Formulary status (generic drug, brand-name drug, non-formulary drug, non-covered drug)
  • Where the prescription can be filled
  • Copayments and limitations, such as prior authorization
  • Coverage review requirements and forms
  • Alternative medications, including costs
To start your search, you’ll need to put in the brand name or generic name of the drug and then select the strength prescribed, as well as your gender and age.

Related Links

Don't forget to keep your family's information up-to-date in DEERS.