{"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.","action":"Final rule.","agencies":[{"raw_name":"DEPARTMENT OF DEFENSE","name":"Defense Department","id":103,"url":"https://www.federalregister.gov/agencies/defense-department","json_url":"https://www.federalregister.gov/api/v1/agencies/103","parent_id":null,"slug":"defense-department"},{"raw_name":"Office of the Secretary"}],"body_html_url":"https://www.federalregister.gov/documents/full_text/html/2004/04/01/04-7129.html","cfr_references":[{"chapter":null,"citation_url":null,"part":199,"title":32}],"citation":"69 FR 17035","comment_url":null,"comments_close_on":null,"correction_of":null,"corrections":[],"dates":"This final rule is effective May 3, 2004.","disposition_notes":null,"docket_ids":[],"dockets":[],"document_number":"04-7129","effective_on":"2004-05-03","end_page":17052,"executive_order_notes":null,"executive_order_number":null,"full_text_xml_url":"https://www.federalregister.gov/documents/full_text/xml/2004/04/01/04-7129.xml","html_url":"https://www.federalregister.gov/documents/2004/04/01/04-7129/civilian-health-and-medical-program-of-the-uniformed-services-champustricare-implementation-of-the","images":{},"images_metadata":{},"json_url":"https://www.federalregister.gov/api/v1/documents/04-7129?publication_date=2004-04-01","mods_url":"https://www.govinfo.gov/metadata/granule/FR-2004-04-01/04-7129/mods.xml","not_received_for_publication":null,"page_length":18,"page_views":{"count":136,"last_updated":"2026-09-22 20:15:08 -0400"},"pdf_url":"https://www.govinfo.gov/content/pkg/FR-2004-04-01/pdf/04-7129.pdf","presidential_document_number":null,"proclamation_number":null,"public_inspection_pdf_url":null,"publication_date":"2004-04-01","raw_text_url":"https://www.federalregister.gov/documents/full_text/text/2004/04/01/04-7129.txt","regulation_id_number_info":{"0720-AA63":{"issue":"200310","html_url":"https://www.federalregister.gov/regulations/0720-AA63/champus-tricare-implementation-of-the-pharmacy-benefits-program","title":"CHAMPUS/TRICARE; Implementation of the Pharmacy Benefits Program","xml_url":"http://www.reginfo.gov/public/do/eAgendaViewRule?pubId=200310&RIN=0720-AA63&operation=OPERATION_EXPORT_XML","priority_category":"Substantive, Nonsignificant"}},"regulation_id_numbers":["0720-AA63"],"regulations_dot_gov_info":{"checked_regulationsdotgov_at":"2011-11-12T11:14:36Z"},"regulations_dot_gov_url":null,"significant":false,"signing_date":null,"start_page":17035,"subtype":null,"title":"Civilian Health and Medical Program of the Uniformed Services (CHAMPUS)/TRICARE: Implementation of the Pharmacy Benefits Program","toc_doc":"Pharmacy Benefits Program; implementation","toc_subject":"Civilian health and medical program of uniformed services (CHAMPUS):","topics":["Claims","Health care","Health insurance","Military personnel"],"type":"Rule","volume":69}