Question of the Day May 14, 2015 Tricare like Medicare's focus is on "medically necessary"; if a marketer reaches out to the patient, a doctor never sees a patient, the patient never tries commerically available drugs then how, if ever, can compounded preparations meet the federal definition of medically necessary? If pharmacists are aware that marketers or reaching out to patients (because in some case they have a contract or agreement with these marketers), patients are filling out on-line forms, patients are not being examined or even talked to by the doctor, the pharmacy is receiving multiple forms/scripts for the exact same compounded prescription for every customers and continue to make the preparations, file for insurance reimbursement etc., collect the money, then what, if any, defense does a pharmacy/pharmacist have to say they are not part of a scheme defraud or other similiar charges under federal and/or state law?