Defense Health Agency (DHA) : TRICARE Recoupments

Description: Individuals and institutions use this form to submit payments. Refer to your TMA Form 716.
Form Number: CRMCR

TRICARE Retail Pharmacy Refunds

Description: Pharmaceutical manufacturers - please use this form to pay quarterly refunds.
Form Number: CRMRX1

We're here to help!

We're Available
We're Available
Monday - Friday
7 a.m. - 7 p.m. Eastern
Open
Send A Message
You will hear from us
by the end of the next
business day.
Toll Free Number
Call Us Toll Free
Inside U.S.A. only
800-624-1373
International Number
International Number
Outside the U.S.A.
+1-216-579-2112