This communiqué is being sent to prescribers and pharmacies who are TennCare’s most frequent providers of compounded prescriptions. As a result of the State of Tennessee’s Legislature adoption of budget reductions this coming fiscal year, TennCare will be managing prescription compounds by requiring prior authorization to ensure medical necessity, and by implementing a level of effort compound fee structure.

Effective July 24, 2015, the following agents will be moved to non-preferred status on the TennCare PDL and be removed from the list of branded agents classified as generics meaning that they will now count as a brand toward members’ monthly prescription limits and copays.

Magellan released a notification regarding TennCare coordination of benefits.