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• Prior Authorization Program In an effort to promote the appropriate use of certain drugs and to help better manage the cost of expensive drugs, the ConnectiCare Pharmacy & Therapeutics Committee has developed a list of prescription drugs that require prior authorization. The drug will be approved or denied for coverage based on criteria established and approved by the P&T Committee. Some drugs within the pre-authorization program require other medications be used prior to approval. What is Prior Authorization? Why does my drug require prior authorization? View listing of drugs that require prior authorization. Prior authorization requests must be faxed to ConnectiCare’s Pharmacy Services Department at 1-800-249-1367 by the prescribing physician’s office. When submitting a request for Prior Authorization please use the appropriate Pharmacy Prior Authorization form. What happens next? ConnectiCare’s pharmacist will review the request for authorization and make the determination. If the prescribed drug is approved, the prescription will be filled as usual at a participating pharmacy or administered by a provider (where appropriate). When a request for authorization is denied, ConnectiCare will notify the physician in writing, including: the reason for the determination and clinical rationale, if any; instructions on how to initiate an appeal of the decision; and, notice of the availability of clinical review criteria referenced in the decision. Note: POS members receiving out-of-network care are responsible for initiating this process.