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TENNESSEE VOLUME PHARMACY CERTIFICATION FOR 2023 Period Covered: July 1, 2021, through June 30, 2022, In accordance with Tennessee Code Section 5673206(f) and Tennessee Department of Commerce and
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Gather all necessary information such as prescription details, insurance information, and personal information.
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Contact the pharmacy benefits manager either through their website, phone number, or in person.
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Provide all the necessary information to the pharmacy benefits manager including the prescription details and insurance information.
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Wait for the pharmacy benefits manager to process the information and provide you with coverage and pricing details.
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Who needs pharmacy benefits managers?

01
Individuals who have health insurance that includes prescription drug coverage.
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Pharmacies and healthcare providers who need assistance with managing prescription drug benefits for their patients.
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Employers who offer health insurance benefits to their employees and need help managing prescription drug coverage.
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Insurance companies who need help administering prescription drug benefits for their policyholders.
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Pharmacy benefits managers are companies that manage prescription drug benefits on behalf of health insurers, Medicare Part D drug plans, large employers, and other payers.
Pharmacy benefits managers are typically required to file with regulatory authorities and comply with state and federal laws and regulations.
Pharmacy benefits managers must provide comprehensive and accurate information about drug prices, formularies, rebates, and other aspects of prescription drug benefits.
The purpose of pharmacy benefits managers is to help control prescription drug costs, improve medication adherence, and ensure access to needed medications.
Pharmacy benefits managers must report on drug utilization, cost effectiveness, rebate agreements, and other factors that impact prescription drug benefits.
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