
Long Acting TennCare Pharmacy Program Magellan Health Form


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People also ask
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Is OptumRx part of TennCare?
As a member of TennCare, OptumRx is here to help with your pharmacy needs.
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Who is the pharmacy benefit manager for TennCare?
OptumRx is TennCare's pharmacy benefits manager effective January 1, 2020.
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Does TennCare cover Ozempic for weight loss?
TennCare is required by the federal government to cover the diabetes and weight loss drug. Tennessee's Medicaid program requests hundreds of millions of dollars for essentially just one classification of drugs. That drug? Ozempic.
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How many prescriptions does TennCare cover?
Yes. CoverRx will pay for five prescriptions per month. Insulin, diabetic supplies, vaccines, nicotine replacement products, COVID-19 antivirals, At-Home Tests, and Buprenorphine/Naloxone 8/2mg SL Tablets are excluded from the prescription limit. What is the cost for participating in CoverRx?
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What is OptumRx TennCare?
As a member of TennCare, OptumRx is here to help with your pharmacy needs. Here you can find participating pharmacy, order a replacement ID card and much more. We obey federal and state civil rights laws.
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Who is the PBM for TennCare?
Note: The CoverRx Prescription Benefit Manager (PBM)is OptumRx. Please contact OptumRx, 800-424-5815, for assistance with enrollment; questions about prescription services or membership; and to update your profile.
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What does PBM mean in health insurance?
Pharmacy benefit managers, or PBMs, manage prescription drug benefits for clients ranging from health insurers and Medicare Part D drug plans to large employers. PBMs are one of the few parts of the prescription drug supply chain specifically dedicated to lowering costs.
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What is the PBM reform bill in Tennessee?
Description: This act prevents discrimination by PBMs against 340B entities, prevents patient steering to only certain contracted pharmacists, prevents spread pricing, prevents reimbursements below cost, and increases transparency by allowing for real-time benefits analysis.
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