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Find and download the tricare form you need. Search for your drug on the tricare formulary. Tricare west region patient referral/authorization form. To be used only for prescriptions which are to be filled through the department of defense (dod) tricare pharmacy program (tpharm). Submitting a request online at.
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Search for your drug on the tricare formulary. To be used only for prescriptions which are to be filled through the department of defense (dod) tricare pharmacy program (tpharm). Submitting a request online at. Give the form to your provider to complete and send back. Find and download the tricare form you need.
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Give the form to your provider to complete and send back. Submitting a request online at. Find and download the tricare form you need. Tricare west region patient referral/authorization form. To be used only for prescriptions which are to be filled through the department of defense (dod) tricare pharmacy program (tpharm).
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