Form Required to Appeal Prescription Denials

Denials of a prescription under Tennessee’s closed drug formulary require a form — "Request for expedited determination-appeal of a denied prescription" — must be submitted to the Bureau of Workers’ Compensation’s medical director, the agency says. Prescribing doctors and pharmacies can find the form here. Valid reasons to appeal the denial of a prescription are: The drug was previously prescribed and dispensed but is now not covered under the formulary or requires prior approval. Not prescribing the medication poses an unreasonable risk of a medic...