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  1. State of Tennessee - Benefits Administration
  2. Employees
  3. Pharmacy

Pharmacy

  • My specialty prescription has gone way up in cost. What is going on?
  • My pharmacy said my doctor needs to request prior authorization to refill my prescription. How do I do this?
  • I would like to appeal my prescription drug benefits paid with Caremark. What should I do?
  • There is a quantity limit on my prescription drug; however, my doctor says I need an amount higher than the limit. What do I do?
  • I tried to get a prescription filled but my claim was denied because the medication is now available over the counter. Does this mean my pharmacy benefits are becoming more limited?
  • What if I take a drug that is not on the Caremark drug list?
  • I have diabetes. Can I use any diabetic medications and testing supplies?
  • What is the maintenance drug list, and how can I find out if my drug is covered on the list?
  • Is the shingles vaccine covered by the state’s health insurance plans, and can the state lower the age limit for receiving the vaccine?
  • What happens if I ask for a brand name medication when my doctor writes a prescription indicating that a generic drug can be substituted?
State of Tennessee - Benefits Administration