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Differences Between VA and DOD Relevant to Pharmaceutical Manufacturers

Comparing the services available to patients served by Veterans Health Administration (VHA) under the Department of Veterans Affairs (VA) to those provided the Defense Health Agency (DHA) under the Department of Defense (DoD) can be tricky as they have different missions and cater to different populations. Here is an abbreviated breakdown of the differences between these two systems as they apply to pharmaceutical manufacturers.


Feature

VA

DoD

Beneficiaries

Veterans

Active-duty military, families, retirees

Eligibility

Based on military discharge status and service history

Based on active-duty status and family relationships

Strengths

Cost-effective care for eligible veterans

Extensive network of facilities worldwide

Care Model

Integrated care model with a focus on primary care and preventive services

Military Treatment Facilities. Additional care depends on individual’s TRICARE policy selection

Scope of Services            

Comprehensive healthcare, including primary care, specialty care, mental health care, prosthetics, and long-term care

Primary care, preventive care, maternity care, some specialty care, and some behavioral health services

Cost  

Varies. Depending on service, income, and disability rating, but, generally, free or low-cost for eligible veterans.

TRICARE is typically free for active-duty service members. Dependents and retirees pay premiums based on their plan.

Drug Formularies

Veterans Affairs National Formulary (VANF)

TRICARE Formulary

Pharmacy Prime Vendor

McKesson Corporation

AmerisourceBergen Corporation

Mail Order Pharmacy

Completed by internal Consolidated Mail Outpatient Pharmacy (CMOP)

Completed by external contractor – Express Scripts

Provider Choice

Options may be limited outside of major metropolitan areas

Limited to providers within the military healthcare system and those that accept TRICARE


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