Covered drugs and exclusions may vary by product purchased or state regulations. Refer to Member Services at 1-800-251-7722 to verify coverage.
The following is a brief summary of some of the drug products that are excluded from ConnectiCare’s plan benefits.
Any prescription drug not required for the treatment or prevention of illness or injury including prescriptions for cosmetic treatment or hair loss
• Any prescription drug obtained for the use of another individual • Drugs that are lost, stolen or damaged after they are dispensed by the pharmacy will not be replaced • Products limited in use as suggested by manufacturers, the FDA and ConnectiCare’s Pharmacy Services Department • Weight control drugs, antibacterial soap/detergent, shampoo, toothpaste/gel, or mouthwash/rinse • Medication for sexual dysfunction, unless the member is covered for such medication under a Prescription Drug Rider • Drugs that may be purchased without a prescription, including prescription drugs with non-prescription OTC equivalents are excluded
PPM/2.10
