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
8 a.m. - 7 p.m. Eastern
Send A Message
We are experiencing extremely high email and call volume.
We will respond to your inquiry as soon as we are able.
Thank you for your patience and understanding.
Toll Free Number
Call Us Toll Free
Inside U.S.A. only
International Number
International Number
Outside the U.S.A.