2021 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.

  • 2021 ConnectiCare Medicare Advantage drug formulary

    Document Last Update: 07/2021  H3528_200567_C

  • 2021 ConnectiCare D-SNP Plan drug formulary

    Document Last Update: 07/2021   H3276_200568_C

  • 2021 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.

    Document Last Update: 07/2021,     Y0026_200180_C


 

2021 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.

    Document Last Update: 07/2021,     Y0026_200985

  • 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.

    Document Last Update: 07/2021,     Y0026_200986

  • Part B step therapy

    Y0026_201658_C


 

2021 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 Part B Saver (HMO)

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