[Effective 10/1/2023] Definitions

CurrencyCurrent through May 31, 2023
Citation 32 C.F.R. §199.2
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2 cases
  • United States ex rel. Hueseman v. Prof'l Compounding Ctrs. of Am.
    • United States
    • U.S. District Court — Western District of Texas
    • March 27, 2023
    ...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......
  • Smart Pharmacy, Inc. v. Express Scripts, Inc.
    • United States
    • U.S. District Court — Eastern District of Missouri
    • March 7, 2023
    ...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 ......

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