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 member's pharmacy program is based on a tiered system. The tiers group preferred/non-preferred products for generics, brands, and specialty drugs. ConnectiCare currently offers the following tiered pharmacy programs.
Please refer to the Pharmacy Center website for more detailed information on each plan design. The drug list is updated monthly.
Other communication can be directed to:
ConnectiCare, Inc. & Affiliates
175 Scott Swamp Road
PO Box 4050
Farmington, CT 06034-4050
Physicians currently using an e-prescribing system have access to ConnectiCare's formularies. E-prescribing's real time access to prescription benefit information will help providers select medications that are preferred on the member's plan.
ConnectiCare drug formulary
The ConnectiCare Medicare Advantage drug formulary is a compilation of brand and generic pharmaceuticals. Medications that are selected to be added to the formulary are reviewed by the Pharmacy and Therapeutics (P&T) Committee. Members of the P&T Committee include participating physicians of various in-network specialties, pharmacists and medical directors. This committee is responsible for identifying the pharmaceuticals that will provide optimal results for ConnectiCare members while controlling the cost of drug therapy. The committee meets regularly to keep the drug formularies current.
Some covered drugs may have additional requirements or limits on coverage. These requirements may include:
2020 Step Therapy
In some cases, we require doctors to first try certain drugs to treat a medical condition before we will cover another drug. For example, if Drug A and Drug B both treat your patient’s medical condition, we may not cover Drug B unless your patient tries Drug A first. If Drug A does not work for your patient, we will then cover Drug B. This is called step therapy. Here is a list of drugs that fall under this requirement.
Some covered drugs have additional requirements or limits on coverage. We must approve certain drugs before doctors can prescribe them to you. This is called a prior authorization. It helps us see that drugs are used appropriately and helps guarantee the safety and affordability of medications. Below is a list of drugs that require prior authorization.
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.