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
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
International Number
International Number
Outside the U.S.A.