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Recent growth is the military health system (MHS) is partly attributable to the TRICARE Senior Pharmacy (TSRx) program, which expanded pharmacy coverage for elderly MHS beneficiaries. In principle, the Department of Defense (DoD) can reduce its pharmacy acquisition costs by shifting prescribing from retail pharmacies to MTF pharmacies and/or the TRICARE mail order pharmacy. To help develop policy options that can improve DoD's ability to manage acquisition costs of the TSRx program, this study provides information about where TSRx beneficiaries receive their medications and what factors influence where they choose to obtain their medications. Among the findings: (1) Although a majority of TSRx prescriptions in FY02 were dispensed from MTF pharmacies, a majority of TSRx estimated ingredient costs were attributable to drugs dispensed from retail pharmacies. (2) Estimated ingredient costs could be reduced if dispensing shifted from retail pharmacies to dispensing locations where federal pricing is the basis of DoD's ingredient cost. (3) Geographic proximity to MTFs was strongly associated with TSRx use and utilization patterns. (4) Within two major therapeutic classes-antihyperlipidemics and gastrointestinals-the availability of a drug at a MTF was associated with increased use of the MTF and reduced use of retail pharmacies to fill other prescriptions.

Medicine, Military --- Drugs --- Older veterans --- Retired military personnel --- Military dependents --- Managed care plans (Medical care) --- Costs. --- Cost control. --- Medical care --- Costs. --- Medical care --- Costs. --- Medical care --- Costs. --- United States --- Armed Forces --- Medical care --- Costs.

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This analysis determines how particular patient and facility characteristics influence Veterans Equitable Resource Allocation (VERA) system allocations to the Department of Veterans Affairs regional service networks and simplifies and refines the models created in earlier RAND research to reflect policy changes and more recent data.

Veterans - Medical care - United States. --- Health Care Evaluation Mechanisms --- Investigative Techniques --- Delivery of Health Care --- Health Planning --- Persons --- Health Resources --- Evaluation Studies as Topic --- Veterans --- Quality of Health Care --- Health Care Quality, Access, and Evaluation --- Therapeutics --- Health Care Economics and Organizations --- Health Care --- Veterans Equitable Resource Allocation System.