{"data":{"id":"us-tn/tenn.-code-ann.-56-7-3205","jurisdiction":"us-tn","citation":"Tenn. Code Ann. § 56-7-3205","heading":"Calculation of enrollee's contribution to applicable cost sharing requirement","body":"(a) When calculating an enrollee's contribution to an applicable cost sharing requirement, an insurer shall include cost sharing amounts paid by the enrollee or on behalf of the enrollee by another person.\n(b) Subsection (a) does not apply to a prescription drug for which there is a generic alternative, unless the enrollee has obtained access to the brand name prescription drug through prior authorization, a step therapy protocol, the insurer's exceptions and appeals process, or as specified in § 53-10-204(a) .","path":["TN Code","Title 56","Chapter 7"],"source_url":"https://oss-data-us.vaquill.ai/v2026.08/us_tn_statutes.parquet","current_through":"2026-08-14","vintage":"open-us-law v2026.08, retrieved 2026-09-14","retrieved_at":"2026-09-14T18:32:26Z","sha256":"e5a87accab3896ef3ba32f2a561fc3743aa5e515a349d4eb05fb54979f20c7ea","source_id":"us-tn","stale":false,"prev":"us-tn/tenn.-code-ann.-56-7-3204","next":"us-tn/tenn.-code-ann.-56-7-3206"},"notice":"GroundRules: Original legal text. Not legal advice."}