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Holloman AFB Formulary
1. HOLLOMAN AFB FORMULARY
DISPENSING POLICIES / from the date they were written with up to 5
PROCEDURES refills. Prescriptions for Schedule 2
medications will be honored for 7 days from
MAIN Pharmacy the date they were written with no refills.
280 First St, Bldg 15 Providers are reminded to include their DEA
Holloman AFB, NM 88330 number on all controlled prescriptions.
Open: 0730 – 1630, M-F
TEL. NO: (575) 572-2778 - REFILL POLICY: Refills MUST be called
FAX No: (575) 572-5781 in through the automated refill system at
REFILL Pharmacy 572-7045. They may be called in 7 days
TEL. NO: (575) 572-7045 / 1-800-843-4682 before the Rx should run out. Please allow
for 2 duty days for refills to be ready.
The Pharmacy is closed: Saturday, Sunday,
all federal holidays and specially designated - Although medications are provided at no
‘down’ days cost to our patients, this service is not free—
the American taxpayer pays the bill. Please
-The pharmacy must use generic consider less expensive alternatives
medication whenever possible so please whenever possible when prescribing.
write all medications generically.
TRICARE MAIL ORDER PHARMACY
-A prescription written as “Dispense as (EXPRESS SCRIPTS): Contact
Written” may not be accepted. 1-866-363-8667 or www.express-
scripts.com/TRICARE for more information.
-Drugs with narrow therapeutic margins will 30 or 90 day supply:
not be generically substituted. Active duty: No cost
All Other Beneficiaries: Generic $0,
- TELEPHONE PRESCRIPTIONS: Per Air Formulary Brand-Name: $9; Non-Formulary
Force directives, no pharmacy staff member Brand-Name: $25
may receive a prescription called in from a Copayments at retail pharmacies are $5 for
provider. This also includes prescription generic drugs, $12 for brand name and $25
renewals. The pharmacy can, however, for non-formulary.
accept a change or substitution to a non-
controlled prescription if the original **The brand name in the listings are for
prescription is located within the pharmacy. reference only and do not signify the
product dispensed**
-Fax’s: New prescriptions for non-
controlled substances and controlled
substances in schedules III-V from providers
offices, hospitals, or nursing homes may be
faxed.
- NON-CONTROLLED PRESCRIPTIONS:
Are honored up to 1 year from the date the
prescription was written. Antibiotic
prescriptions over 10 days old will be filled
at the discretion of the pharmacy.
Prescriptions for maintenance medications
may be written for up to a 90 day supply
with a maximum of 3 refills when requested
by prescriber. All other non-controlled
prescriptions may be written for up to 30
days supply with a maximum of 11 refills.
- CONTROLLED PRESCRIPTIONS(**):
Prescriptions for Schedule 3, 4 or 5
medications will be honored for 6 months