b'23BIOGENSUPPORTS YOU AND YOUR PATIENTSTECFIDERA (dimethyl fumarate)Is on the VA National Formulary and TRICARE Uniform Formulary1,2,aform, Download the VAdimethyl fumarate (Tecfidera) Criteria for Use available at https://www.pbm.va.gov/apps/VANationalFormulary/.a For patients who have insurance through TRICARE, the prescriber must complete and sign a Prior Authorization request form.TRICARE is a registered trademark of the Department of Defense, Defense Health Agency. All rights reserved. VA=United States Department of Veterans Affairs. References: 1. VA Formulary Search Tool. US Department of Veterans Affairs website. https://www.pbm.va.gov/apps/VANationalFormulary/. Accessed May 6, 2020. 2. TRICARE Formulary Search Tool. Express Scripts Federal Pharmacy Services. https://www.express-scripts.com/static/formularySearch/2.9.5/#/formularySearch/drugSearch. Accessed May 6, 2020. 2020 Biogen. All Rights Reserved. Printed in the U.S.A. 05/20 TEC-US-3933'