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Kroger No Longer Supports the Military Retirees

geist1223

geist1223

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Kroger no longer accepts TriCare for Life at any of its Pharmacies. This is the Medical Insurance for Military Retirees. This Company has 19 different Grocery Store Chains such as Smith's, Fred Meyer, Ralph's, etc. They cover the entire USA. This is a hugh loss. This change took place on January 1, 2023.
 
I am sure there is a lot behind this, but it looks to be due to a contract between the Defence Department and Express Scripts. All the pharmacies need to accept a contract offer from Express Scripts in order to accept TriCare and many independant pharmacies have already dropped out. Looks like Kroger and later Albertsons are also impacted. It seems these indpendant pharmacies don't like the terms of the contract being thrust upon them by Express Scripts.
 
I have used Kroger Pharmacies for over 20 plus years and I'm not a happy camper .
 
dioxide45 said:
I am sure there is a lot behind this, but it looks to be due to a contract between the Defence Department and Express Scripts. All the pharmacies need to accept a contract offer from Express Scripts in order to accept TriCare and many independant pharmacies have already dropped out. Looks like Kroger and later Albertsons are also impacted. It seems these indpendant pharmacies don't like the terms of the contract being thrust upon them by Express Scripts.
Click to expand...
The winners are WalMart, CVS and Walgreen Pharmacies.
 
Since I already use CVS Iam good there. Thanks for checking
 
From what I understand, this is not Kroger's fault.
 
Contracts come and go. An example would be CVS a few years ago was dropped by Express Scripts. now they are back. Not sure how often contracts are renegotiated but it’s the objective of ES to keep the cost as low as possible To the government and the service member.
 
It is all about money. PBM's ("pharmacy benefit managers") don't care about patients; they only care about "managing" the bottom line for insurance companies. Patients of all kinds (military sadly included) are subject to the inconvenience of this on a yearly basis as contracts are renegotiated to this end.
 
Yes, we received notice in November that our Cigna insurance wouldn’t be good at Kroger as of January 1. There’s a CVS convenient to us, but not nearly as convenient as getting our Rx filled where we shop for groceries.
 
Our CVS in Target is closed every day at 6p and only open M-F, closed weekends. It appears minimally staffed
 
Always a head shaker to read about USA health care profit motive limiting choice. All other 1st world countries you just go wherever you want for health care.
 
So much of our health care system is a profit driven mess. The insurance companies and the PBM CEO's make millions of dollars restricting access to health care and medications. I just got yet another request for a "prior authorization", i.e. "rationing by paperwork" to ask me to spend my time justify why they should pay for a medication I (the one who went to medical school) think is best for this patient. This will be reviewed by no one with a medical degree or knows this patient (who I have been seeing for years). It goes on and on. The pharmacies are caught in this mess as well; they are at the mercy of the Walgreens, CVS etc. corporate management.
 
Our health care system absolutely is a profit-driven mess. It's disgusting. For years, I worked for health insurance companies and managed the databases containing fee schedules for hospitals and physician groups all over the country. The databases were used for adjudicating medical claims, and were built based on decisions driven by negotiations among the stakeholders. Part of my job was managing teams of programmers who had to build the decisions into the database. It was literally making sausage by IT. And every other health insurer was (is) doing the same thing. We need a single-payer health system, and no one will ever convince me otherwise.
 
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Rather than throwing out inflammatory headlines or complaining for the sake of complaining here are a couple of links that actually help explain.


newsroom.tricare.mil

4 Changes Coming to TRICARE Pharmacy Program in 2023

As the new year approaches, make sure you’re aware of changes to the TRICARE Pharmacy Program that may affect you. While these changes offer several enhancements, some of the changes may require
newsroom.tricare.mil

Find a TRICARE Network Pharmacy | Express Scripts

Use our directory to find a TRICARE network pharmacy near you. Choose from retail pharmacies, military pharmacies, or home delivery for maintenance and specialty medications.
militaryrx.express-scripts.com militaryrx.express-scripts.com

newsroom.tricare.mil

TRICARE Pharmacy Network Changes May Affect Independent Pharmacy Customers

Starting Oct. 24, about 15,000 independent pharmacies will no longer be in the TRICARE retail pharmacy network. Even with the departure of these community pharmacies, the network will still offer
newsroom.tricare.mil
 
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