Tenncare Formulary 2025 . Tenncare Renewal Packet PDF 20182025 Form Fill Out and Sign Printable PDF Template airSlate This document contains information about the drugs covered in your prescription drug benefit plan FORMULARY The Ambetter Formulary, or Prescription Drug List, is a guide to available brand and generic drugs that are approved by the Food and Drug Administration (FDA) and covered through your prescription drug benefit
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TennCare Specialty List - Effective 03/1/2025 DRUG NAME AND STRENGTH GENERIC NAME DISEASE CATEGORY ACTIMMUNE INJ 2MU/0.5 INTERFERON GAMMA-1B INJ 100 MCG/0.5ML (2000000 UNIT/0.5ML) ONCOLOGY Please forward or copy the information in this notice to all providers who may be affected by these processing changes.
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