The Extended Core Formulary (ECF) includes medications in therapeutic classes that are used to support more specialized scopes of practice than those on the Basic Core Formulary (BCF). MTFs may choose whether or not to include an ECF therapeutic class on formulary, based on the clinical needs of its patients. However, if an MTF chooses to have an ECF therapeutic class on formulary, it must have all ECF medications in that class on formulary.
Medications are selected for the ECF because they offer significant clinical or cost-effectiveness advantages to MTFs compared to other medications in a therapeutic class. MTFs should utilize BCF or ECF medications to the greatest extent consistent with the clinical needs of their patients.
The TRICARE Uniform Formulary and national pharmaceutical contracts also affect what medications MTFs are allowed to have on formulary. The following table outlines MTF formulary requirements:
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MTFs MUST have on formulary
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MTFs MAY have on formulary
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MTFs MUST NOT have on formulary
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All BCF medications
All ECF medications if the therapeutic class is on the MTF formulary
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Medications that are on the Uniform Formulary, but not on the BCF or ECF
Medications in classes not yet reviewed by the DoD P&T Committee for the Uniform Formulary, unless not allowed by a national pharmaceutical contract
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Medications designated as non-formulary under the Uniform Formulary
Medications that are not allowed on MTF formularies due to a national pharmaceutical contract.
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The DoD P&T Committee is reviewing therapeutic classes for the UF on a class by class basis. For information on classes to be reviewed at upcoming meetings, please visit the DoD P&T Committee schedule page. The DoD P&T Committee makes recommendations regarding the formulary status of medications on the BCF, ECF, and UF to the Director, TRICARE Management Activity (TMA). The Director, TMA, makes final decisions after considering comments of the Beneficiary Advisory Panel (BAP).
References: HA policy 04-032, TRICARE Pharmacy Benefit Program Formulary Management, provides additional information about the BCF, ECF, and Uniform Formulary.
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Special
Notes
Listings for classes already reviewed by the DoD P&T Committee also include:
Medications designated as non-formulary under the Uniform Formulary. MTFs are not allowed to have these medications on their formularies.
Medications on the Uniform Formulary (UF), but not on the BCF or ECF. MTFs are not required to have any of these medications on formulary, but may choose to add one or more depending on local needs.
Brand names are provided for reference purposes and do not imply the recommendation of a specific product except when noted. For multi-source items, it is expected that the most favorably priced product will be used.
Classifications for drugs classes not yet reviewed by the DoD P&T Committee are general groupings provided for convenience only and are subject to change.
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