2022 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.

  • 2022 ConnectiCare Medicare Advantage Drug Formulary

    Document Last Update: 07/2022  H3528_201713_C

  • 2022 ConnectiCare D-SNP Plan Drug Formulary

    Document Last Update: 07/2022   H3276_201712_C

  • 2022 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: 07/2022  Y0026_202913_C


 

2022 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: 07/2022     Y0026_202915_C 

  • 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: 07/2022      Y0026_202914_C 


 

2022 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), ConnectiCare Choice Dual Vista (HMO D-SNP)