TennCare emergency rules add coverage for FDA‑approved weight‑loss drugs, remove five‑Rx monthly cap

The Division of TennCare told the joint Government Operations Committee on Oct. 15 it is amending emergency rules to allow coverage of FDA‑approved weight‑loss drugs for TennCare enrollees and to remove a five‑prescription monthly limit for adult enrollees age 21 and older.

Ashley Reid, legislative director for TennCare, said the package amends TennCare rule chapters to (1) allow coverage of FDA‑approved weight‑loss drugs when prescribed for treatment of obesity, and (2) remove the per‑month five‑prescription quantity limit for adult enrollees. “Item number 5 on your agenda is TennCare's emergency rules that amend TennCare's existing rules to allow for the coverage of FDA approved weight loss drugs for TennCare enrollees and to remove the quantity limit on number of covered generic drugs a TennCare enrollee…