CoverRx FAQ
CoverRx is a prescription drug program designed for the uninsured or for those who have insurance without a pharmacy benefit. CoverRx provides access to more than 200 generic medications, in addition to insulin and diabetic supplies, all with low co-pays.
- Tennessee resident (6 months)
- U.S. Citizen or qualified legal alien
- Age 18 to 64
- Uninsured or insured with no pharmacy coverage
- Household incomes at or below 138% of the federal poverty level (See Income Guidelines Tab).
CoverRx provides members with affordable access to more than 200 generic medications, as well as insulin and diabetic supplies. CoverRx is not insurance and will not cover physician visits or hospitalization.
Yes. CoverRx will pay for five prescriptions per month. Insulin, diabetic supplies, vaccines, nicotine replacement products, COVID-19 antivirals, At-Home Tests, and Buprenorphine/Naloxone 8/2mg SL Tablets are excluded from the prescription limit.
Because CoverRx is not insurance, there are no monthly premiums and no cost to join. Members are responsible for low co-pays when they fill prescriptions; however, there are no co-pays for vaccines, Narcan Nasal Spray, or other naloxone products. Participants will pay a discounted price for many drugs that are not covered.
Online applications and paper applications for download are available at CoverRx. You may call 1-800-424-5815 for assistance.
There are more than 1,400 pharmacies in the CoverRx network, including independent pharmacies and statewide chains. A pharmacy locator can be found under the Pharmacy Network Tab.
Yes. Use of other discount programs, such as those offered by retail pharmacies, is encouraged.
Yes. Below is a listing of some other programs and organizations, which help the uninsured find prescription medications.
- www.dispensaryofhope.org
Dispensary of Hope provides underinsured patients the medication they need through innovative stewardship of the pharmaceutical supply-chain. They have built a national distribution center and pharmacy to support a network of dispensing sites and direct-to- patient prescription solutions. - www.needymeds.org
Needy Meds provides information about patient assistance programs that provide no cost prescription medications to eligible participants. - www.pparx.org
PhRMA - The Pharmaceutical Research and Manufacturers of America provides information about discounted/free Prescription Drug Assistance Programs offered by drug manufacturers. - www.rxassist.org
Patient assistance programs are run by pharmaceutical companies to provide free medications to people who cannot afford to buy their medicine. RxAssist offers a comprehensive database of these patient assistance programs, as well as practical tools, news, and articles so that health care professionals and patients can find the information they need, all in one place. - www.rxhope.com
RxHope is exactly what its name implies...a helping hand to people in need in obtaining critical medications that they would normally have trouble affording. RxHope acts as an advocate in making the patient assistance program journey easier and faster by supplying vital information and help.
No. If you have Medicare (any part including A, B, C or D), you are not eligible for CoverRx.
The CoverRx covered drug list includes frequently prescribed and used medications in the most common categories and includes medications intended for maintenance and episodic use.
Past experience for Tennessee pharmaceutical assistance shows that on average, three to five prescriptions covered the pharmaceutical needs of most participants. By placing the limit at five and adding a short list of medications including insulin that do not count against the limit, CoverRx is able to adequately address the pharmaceutical needs of its members while keeping costs low.
There is no appeal process for exceptions to the five-prescription limit, though the CoverRx card can be used as a discount card for drugs over the five-script limit.
The program does not pay for medications not on the covered drug list. However, the CoverRx card can be used as a discount card to purchase brand name drugs. When available, members are encouraged to use patient assistance programs offered by many drug manufacturers.
The list of covered drugs will be included in every welcome packet, but can also be found at /content/dam/tn/tenncare/documents/coverrx_druglist.pdf. You can request a copy be mailed to you by calling 1-800-424-5815.
Provide this information to the pharmacist to process your order.
- Step 1 Enter Bin 016820
- Step 2 Enter Processor Control Number P2683779
- Step 3 Enter Rx Group CoverRx
- Step 4 Enter Participant's SSN
- Step 5 Enter Participant's Date of Birth
Yes. Members must renew their coverage annually based on their enrollment date.
No. While the program is designed to support individuals with serious or immediate pharmacy needs, anyone who meets the eligibility criteria can join.
Yes. 90-day supplies of medications are available through a mail order system.
Yes. A 90-day supply is available through mail order and through those local retail pharmacies, which have opted to participate in the 90-day program.
All prescriptions must be written by a medical provider. CoverRx does not work with physicians on behalf of members.
Yes. Anyone approved for CoverRx will receive a membership card along with a welcome packet.
Information is available at CoverRx.