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Medical criteria for Dexilant will change after Jan. 1; new preauthorization requests required

Switch to:

Medical criteria for Dexilant will change after Jan. 1; new preauthorization requests required

01/18/2018

We are updating our medical criteria for Dexilant (dexlansoprazole) on Jan. 1, 2018, for all our individual members with commercial plans bought on and off the state insurance exchange, Access Health CT.

We have notified members affected by this change and suggested they reach out to their doctors to get new preauthorization requests for Dexilant submitted to ConnectiCare after Jan. 1, 2018.

We will only cover Dexilant, if doctors document that the patient has tried all of the following alternatives to Dexilant without success:

Nexium OTC
Omeprazole
Pantoprazole
Lansoprazole

Without a new preauthorization, we will not cover Dexilant and your patient will be responsible for the full cost of the drug. Doctors can fax a preauthorization request to ConnectiCare at 800-249-1367.

provider

Access the ConnectiCare Portal

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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.