Assesses how changing to a three-tiered co-payment system would affect drug costs and pharmacy utilization, in particular for specific high-cost classes of medications; As part of an effort to redesign the TRICARE pharmacy benefit to save costs, the Department of Defense is considering moving from a two-tiered to a three-tiered co-payment system, which will increase the co-payment for some classes and brands of drugs. Providers would, theoretically, have an incentive to prescribe less-costly options. To predict how this move would affect costs and pharmacy utilization, the authors use an existing data resource to determine how beneficiaries age 45 to 64 in private-sector health plans responded to similar changes.

Answers the question: Under what circumstances could military medical assets be requested for support to civil authorities? Even before September 11, 2001, threat assessments suggested that the United States should prepare to respond to terrorist attacks inside its borders. This monograph examines the use of military medical assets to support civil authorities in the aftermath of a chemical, biological, radiological, nuclear, or conventional high explosives attack inside the United States. The authors focus on key questions, including under what circumstances military medical assets could be requested and what assets are likely to be requested.