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What drugs does my plan cover?

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:

2019 ConnectiCare Medicare Advantage Drug Formulary
Document Last Update: 09/2018, Last Reviewed: 09/2018, Y0026_C1903_C

2019 ConnectiCare Formulario (Lista de medicamentos cubiertos)
Document Last Update: 10/2018, Last Reviewed: 10/2018, Y0026_C1903_C

2018 ConnectiCare Medicare Advantage Drug Formulary
Document Last Update: 10/2018, Last Reviewed: 09/2017, H3528_18_1085_02r1 Accepted 10/09/2017


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

2019 ConnectiCare Medicare Advantage Formulary Changes
Coming soon

2018 ConnectiCare Medicare Advantage Formulary Changes
Document Last Update: 10/2018, Y0026_124336 Approved 1/12/2014


Price a drug

You can estimate the costs of your prescription drugs by using our Price-a-drug tool below:

Help me price a drug


Prior authorization criteria

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.

2019 Prior Authorization
Coming soon

2018 Prior Authorization
Document Last Update: 10/2018, Last Reviewed: 11/2017, Y0026_124334 Approved 1/12/2014


Step therapy criteria

In some cases, we require your doctor 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 medical condition, we may not cover Drug B unless you try Drug A first. If Drug A does not work for you, we will then cover Drug B. This is called step therapy. Here is a list of drugs that fall under this requirement.

2019 Step Therapy
Coming soon

2018 Step Therapy
Document Last Update: 10/2018, Last Reviewed: 11/2017, Y0026_124334 Approved 1/12/2014


Coverage determination

If your medication is not listed in the formulary, you have the right to request a coverage determination to receive an exception.


Y0026_c1977
Last Update 10/12/2018

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