The November 5, 2026 Pharmacy Advisory Committee (PAC) meeting will be held virtually from 9:30 a.m. – 3:30 p.m. CST.

Webex Webinar Link: https://tn.webex.com/tn/j.php?MTID=m5da070bd30a6794507646c7407f93e8d

Webinar number: 2302 065 8237

Webinar password: 9WrU26UJdUQ (99782685 when dialing from a phone or video system)

Panelists should join using the password provided via email.

Join by phone

+1 615-747-4911 Webex Call-In

+1-415-655-0001 US Toll

Access code: 2302 065 8237

The October 27, 2026 Drug Utilization Committee (DUR) Board meeting will be held virtually from 9am-11am. Please see details below to join:

Webinar topic:
2026 October Virtual Quarterly Drug Utilization Review (DUR) meeting

Date and time:
Tuesday, October 27, 2026 9:00 AM | (UTC-05:00) Central Time (US & Canada)

Join link: https://tn.webex.com/tn/j.php?MTID=m33897b46cf03fcf009a015ed06ad726d

Webinar number:
2302 399 1283

Webinar password:
WKug3Pmim23 (95843764 when dialing from a phone or video system)

Join by phone
+1 615-747-4911 Webex Call-In
+1-415-655-0001 US Toll

Access code: 230 239 91283

Update on Federal Legislation

Congress passed H.R. 1 last summer, which included new Medicaid community engagement requirements for some members. These requirements generally apply to single adults covered through Medicaid expansion, but Tennessee has not expanded Medicaid. However, CMS has determined that a small group of Tennessee parents—those whose income is too high for traditional Medicaid but too low to qualify for assistance on the Health Insurance Marketplace—are subject to the requirement.

These individuals automatically meet the community engagement requirement based on information TennCare already has, so no one in Tennessee who is subject to this requirement needs to take any action or will experience changes to their Medicaid coverage. Additional information is available on our webpage.

UPDATES TO TENNCARE’S MONTHLY PRESCRIPTION LIMIT Effective August 1, 2025, TennCare will no longer enforce the five (5) prescription limit per month on prescription drugs and refills for adult TennCare enrollees; however, the two (2) brand prescription limit per month will remain in effect. Members may exceed the two brand monthly prescription limit by utilizing the products on the Auto-Exempt and Attestation List. As a reminder, the limit starts over at the first of each month. No changes will be made for the CoverRx and CoverKids programs.

Effective January 1, 2025, in response to the amended Tennessee Code Annotated (TCA), Title 56, Chapter 7, Part 23 (Public Chapter No. 732), TennCare and CoverKids members are eligible to receive up to a 12-month supply of self-administered hormonal contraceptives (e.g. oral, topical, vaginal) in a single dispensing. A smaller quantity may be provided if requested by the member or if specified by the healthcare provider. Please review the associated Provider Notice for details.

Please visit www.tn.gov/tenncare/diapers for information on the TennCare and CoverKids diaper benefit.

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