[Effective 10/1/2023] Definitions
| Currency | Current through May 31, 2023 |
| Citation | 32 C.F.R. §199.2 |
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2 cases
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United States ex rel. Hueseman v. Prof'l Compounding Ctrs. of Am.
...psychologically necessary, a drug must, among other things, constitute "appropriate medical care" as defined in TRICARE's regulations. 32 C.F.R. § 199.2. This requires that the care be "furnished economically." Id. TRICARE's regulations further provide that fraud or abuse by a pharmacy or o......
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Smart Pharmacy, Inc. v. Express Scripts, Inc.
...of the appealing party, would result in the authorization of CHAMPUS benefits." N. Michigan Hosps., Inc., 344 F. App'x at 737 (citing 32 C.F.R. § 199.2). The court determined that "[t]he central claim presented in the Hospitals' complaints is best understood as a challenge to the denial of ......