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Pharmacy 

2019 Formulary

Clinical Coverage Determinations

Certain medications require a coverage determination. These medications are noted on the formulary. The prescribing Practitioner is responsible for providing the necessary information to our plan.

Mail:
BlueCross BlueShield of Tennessee
Medicare Part D Coverage Determinations and Appeals
1 Cameron Hill Circle, Suite 51
Chattanooga, TN 37402-0051

Phone:
1-800-831-2583

Fax:
423-591-9514

Redetermination

If we have made an adverse determination of a medication or pharmaceutical product, you may initiate a redetermination within 60 calendar days from the date of our first decision.

Pharmacy Resources