The Rx ACCESS Act modifies the TRICARE pharmacy benefits program, which provides prescription drug coverage to military service members, retirees, and their families. Starting October 1, 2026, beneficiaries will gain the ability to choose how they receive non-generic maintenance medications—expanding options beyond current restrictions. The bill requires the Defense Department to ensure that TRICARE pharmacies receive reimbursement equal to their actual drug acquisition costs plus a professional dispensing fee aligned with state Medicaid rates, while prohibiting additional hidden fees that may have previously reduced payments. To ensure program transparency and quality, the Comptroller General must conduct annual audits examining reimbursement rates, price concessions, and pharmacy network adequacy—with special attention to rural and underserved areas. The Defense Secretary must submit an implementation plan to Congress within 90 days of the bill's enactment.
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