BlueCross BlueShield of Tennessee Coverage for Mounjaro
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PA not required
Step therapies not required
5 Plans
5 Plans
Commercial - PPO
$$$$$Preferred
PA requirements
Quantity Limit
Commercial - Employer
$$$$$Preferred
PA requirements
Quantity Limit
Medicare - MA-PD
$$$$$Preferred
PA requirements
Quantity Limit
Health Exchange - PPO-HIX
$$$$$Preferred
PA requirements
Quantity Limit
Managed Medicaid - HMO - Medicaid
$$$$$Non-preferred
PA requirements
Step therapies
Quantity Limit
Alternative Drug Suggestions