2023 Medicare Formularies

A formulary is the list of prescription drugs covered by ConnectiCare under your plan. If a drug is not in the formulary, then it is not covered (exceptions may apply). A complete list of covered drugs is available below.

  • 2023 ConnectiCare Medicare Advantage Drug and D-SNP Formulary

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    Last Updated: 06/01/2023
  • 2023 ConnectiCare Medicare Advantage Formulary Changes

    We make updates to our drug lists during the year. We highlight those changes for your convenience in this document.

    Y0026_203592_C 

    Last Updated: 06/01/2023

 

2023 Pharmacy Documents

  • Prior Authorization List

    Prior authorization means that you will need to get approval from your plan before you fill your prescriptions. If you do not get an approval, your plan may not cover the drug. Here’s a list of drugs that require prior authorization.
    Y0026_203594_C

    Last Updated: 06/01/2023
  • Step Therapy

    Step therapy means you may need to try a different or more common drug first. This document lists the drugs that require step therapy.
    Y0026_203593_C

    Last Updated: 06/01/2023
  • Part B Step Therapy

    This document lists Non-Preferred Part B drugs that require step therapy.
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    Last Updated: 01/01/2023

 

2023 Pricing a Drug

Price a Drug or Locate a Pharmacy

  • ConnectiCare Passage Plan 1 (HMO), ConnectiCare Flex Plan 3 (HMO-POS), ConnectiCare Choice Plan 3 (HMO)

  • ConnectiCare Choice Plan 1 (HMO), ConnectiCare Flex Plan 1 (HMO-POS), ConnectiCare Flex Plan 2 (HMO-POS)

  • ConnectiCare Choice Dual (HMO D-SNP) Plan,  ConnectiCare Choice Dual Basic (HMO D-SNP), ConnectiCare Choice Dual Vista (HMO D-SNP)