Magellan Health became TennCare's pharmacy benefits manager on June 1, 2013. TennCare's previous pharmacy benefits manager was Catamaran (formally SXC Health Solutions). Please visit Magellan Health's TennCare website for all information not found here.
Do you need help with prescriptions or refills at the drug store? First, call your doctor. If you still need help, call the TennCare Solutions Unit at 1-800-878-3192.
Are you a provider who needs help with pharmacy related matters? Call the TennCare Pharmacy Program at: 1-888-816-1680.
Effective February 1, 2006, the TennCare Pharmacy Program revised the prescription limit program to allow adult enrollees to exceed the monthly 5 prescription or 2 brand limit for certain medications in high risk situations. This is in addition to over 600 hundred medications on the Automatic Exemption List that do not count towards limits. To initiate an exception request, the prescriber must call 866-434-5524. A complete listing of medications that can be considered for a prescription limit override are posted on the Prescriber Attestation List.
Additional Program Information and Documents such as the Pharmacy Manual, Auto Exempt List, Preferred Drug List, Prescriber Attestation List, and Prior Authorization Forms can be found at TennCare.MagellanHealth.com.