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      Commercial Physician & Provider Manual

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    • Overview of Products
    • Overview of Plan Types
    • Overview of Coverage: CT
    • Overview of Coverage: MA
    • Overview of Coverage: NY
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    • Concurrent Review
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    • Reconsideration Process
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    • Health Management Programs
    • An Overview
    • Clinical Practice Guidelines
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    • Pharmacy Program
    • ConnectiCare Drug List
    • Pharmacy & Therapeutics Committee
    • Over-the-Counter Medications
    • Pre-Authorization Requirements
    • Specialty Prescription Drugs
    • Generic Substitution Program
    • Managed Drug Limitations
    • Benefit Exclusions
    • Utilization Reporting
    • Administrative Procedures
    • Physicians' Orders
    • Referrals
    • Claims
    • Electronic Funds Transfer
    • Filing Limit
    • Refunds/Overpayments
    • Adjustments/Corrected Claims/Resubmissions
    • Administrative Appeals
    • Billing of Members
    • Coordination of Benefits
    • Billing Claims Payment Policy
    • Introduction
    • Common Billing Scenarios
    • Common Coding Appeals
    • Modifiers: CPT & HCPCS Level II
    • In Office Laboratory & Radiology
    • Credentialing Recredentialing
    • Program Overview (Practitioners & HDOs)
    • Recredentialing (Practitioners only)
    • Reassessment Program (HDOs only)
    • Site Visits (Practitioners only)
    • Standards for Performing Medical Record Review (Practitioners only)
    • Leave of Absence Policy (Practitioners only)
    • Locum Tenens Policy (Practitioners only)
    • Physician Compliance
    • Compliance (Practitioners & HDOs)
    • Termination & Appeals (Practitioners & HDOs)
    • Appendix: CT
    • Appendix: MA
    • Appendix: NY
    • Glossary










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    • Commercial - Pharmacy Program

      ConnectiCare Drug List

      ConnectiCare’s Drug List should be used as a reference and educational tool to assist ConnectiCare’s participating physicians in selecting cost-effective drug therapies. The pharmacy program is based on a tiered system for most of our members:

      First (1st) Tier Drugs/Supplies — lowest standard copayment
      Second (2nd) Tier Drugs/Supplies — midlevel standard copayment
      Third (3rd) Tier Drugs/Supplies — highest standard copayment
      Fourth (4th) Tier Drugs/Supplies — where applicable

      Physicians with a palm- based PDA can view ConnectiCare’s drug list at ePocrates.com. Download, for free, a mobile PDR that provides you the most recent updates, and displays other regional formularies as well.

      Please refer to the ConnectiCare Drug List for more information. The drug list is updated quarterly.

      Other communication can be directed to:

      Pharmacy Services
      ConnectiCare, Inc. & Affiliates
      175 Scott Swamp Road
      PO Box 4050
      Farmington, CT 06034-4050
      Fax: (860) 674-2851 or (800) 249-1367
      e-mail: pharmacy@connecticare.com

      PPM/2.10

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Any information provided on this Website is for informational purposes only. It is not medical advice and should not be substituted for regular consultation with your health care provider. If you have any concerns about your health, please contact your health care provider's office.

Also, this information is not intended to imply that services or treatments described in the information are covered benefits under your plan. Please refer to your Membership Agreement, Certificate of Coverage, Benefit Summary, or other plan documents for specific information about your benefits coverage.