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Defence (DOD): TRICARE Defense Health Agency

Defense Health Agency (DHA) : TRICARE Recoupments
Individuals and institutions use this form to submit payments. Refer to your TMA Form 716. Form Number: CRMCR
TRICARE Retail Pharmacy Refunds
Pharmaceutical manufacturers - please use this form to pay quarterly refunds. Form Number: CRMRX1

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Troubleshooting Information:

Name Value
User IP 54.166.172.180
User Agent CCBot/2.0 (http://commoncrawl.org/faq/)
Current URI /public/search/agencyforms
Current Server Date 05/27/2018 02:06:51 EDT
User Sign In Name UnAuthenticatedUser
Tracker _IaiyBWXg6wRaoDnBJiD
Paygov Tracking ID N/A

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