Hey Jessica, We too are military and I feel your pain with having to pay the co-pay for your scripts. We are retired AF. We use two sometimes three pharmacies. Since we live about 45 min. from the base we stopped using the base pharmacy. When were were A/D though we used it for everything except TOBI, Gent. and Colistin. They ordered the Pulmozyme, ADEKS (we no longer use ADEK and use Source CF now) and Pancrease MT16 (non-generic!). As much as I hated having to pay my measly little $9 for the TOBI and $3 ea. for the Gent and Colistin I got over it seeing as how much they were paying out of their pharmacy budget (MTF)for my two girls alone. Like I said we got everything else there, then.
When we retired we could no longer get the higher dollar meds, TOBI & Pulmozyme because our base is a Naval Reserve Base with only a pharmacy available to retirees, with a clinic only for A/D members (no dep). We started using the mail order pharmacy when the girls went off to college. Three months at a time for one months price. Except for Pulmo, TOBI, Pancrease MT16 and insulin. Mostly because I don't want to refrigerate a three month supply for two girls in my fridge and I know they don't want it in theirs and that's way too much enzymes. Not to mention they once sent us generic enzymes when we were stationed in Germany after arguing with them we stopped using them for about 6yrs.
We have used the CF Service Pharmacy for TOBI & Pulmo with no problems. It's just easier to go to Target. You can only use so many freezer paks and giant styro foam coolers! Target is the main pharmacy we use for just one month stuff. They can get anything in 24 hrs. Even HS, don't let anyone at Target tell you they can't unless it's back ordered. We also use another pharmacy but mostly out of convenience for when we are at Stanford (Anna is a double lung recipient) but only for meds that we aren't sure how long she'll be on.
Here's an option if your husband is an officer... MOAA supplement. We purchased it when my husband retired, we get reimbursed for all the prescriptions, although we have to file a claim. It's only time consuming not difficult. And not really that time consuming if you're on top of it, unlike myself. It costs us an annual membership to MOAA (My husband is now a lifetime member) and an additional fee for the supplement. It's called Mediplus and we pay quarterly. I do not know if it's available for A/D members or just retirees but may be worth looking into if you have alot of meds. We got it not only for meds but also for hospital stays and appointments which you don't have a co-pay for being A/D. If it's not something you can use now, it might be worth looking into when your husband gets ready to retire and go with TriCare Prime it's the closest you're gonna get to your A/D benefits.
I know that was probably too much info. If you can afford to pay the co-pays then go with the mail order or local pharmacy. Pari neb cups? Are you talking about the nebulizers? If you get a script for them from your PCM, TriCare should then send it to a local med. supply co. Like where you'd get your home IV stuff from or a new breathing machine,at (I believe) no cost to you. That is what we do for the nebulizers that go with Rachel's machine. Also, you're CF clinic might have them. Ours does and we get her Pari Nebs from them for free. We do pay for the Source CF vitamins out of pocket because TriCare does not pay for any vitamins or supplements no matter how you argue neccessity.