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Pharmacy

Pharmacy Policy Criteria for ConnectiCare Commercial Members

These preauthorization criteria apply to members with ConnectiCare’s commercial plans (other than Large Group Plan Select members which have their own criteria) when they obtain prescription drugs covered by retail or specialty pharmacy benefits.

The same policy criteria apply to EmblemHealth’s members.

To request preauthorization policy criteria that are not shown below, please email pharmacy@connecticare.com. You may also call Pharmacy Services at 800-828-3407. Our hours are Monday to Thursday from 8:30 a.m. to 5 p.m. and Fridays from 9 a.m. to 5 p.m.

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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.