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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.