Pharmacy
Catamaran (formerly SXC Health Solutions) became the state's pharmacy benefit manager. Please visit Catamaran (formerly SXC Health Solutions) for all information not found here.
Do you have questions about Pharmacy or other benefits? Call the Family Assistance Center (toll free) at 1-866-311-4287.
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 will revise 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
- Covered Over the Counter (OTC) Products for Adults
- Covered Over the Counter (OTC) Products for Children
- Covered Active Pharmaceutical Ingredients (APIs) for Compounded Prescriptions
- Pharmacy Notifications Regarding Daniels Class
- Prescriber Notifications (After October 1, 2008)
- Notices prior to October 1, 2008 can be found here.
- Pharmacy Manual
- Specialty Drug Pricing List
- MAC Pricing
- Tamper-Resistant Prescriptions
- Department of Children's Services (DCS) Pharmacy Eligibility
- Pharmacy Posters: "Please note that these web posters serve as examples only. If your pharmacy is in need of the official posters to display, please e-mail your request to the TennCare Pharmacy Program at TennCare.PBM@tn.gov."
- Pharmacy E-Mailed News and Updates
- Nursing Facility Floor Stock List (pdf, 6kb)
TennCare / Catamaran Supplemental Pharmaceutical Rebate Bid Package
- Bid Submission Instructions (pdf, 40kb)
- Manufacturer Contact Information (xls, 26kb)
- Supplemental Rebate Bid Submission (xls, 32kb)
TennCare / Drug Rebate Invoicing for Labelers and Manufacturers
