Formulary Coverage Changes

Non-Covered Drugs
Effective for fill dates on or after Jan. 1, 2023, CarePartners of Connecticut will no longer cover certain drugs, including drugs with interchangeable generics or therapeutic alternatives. For members currently taking these drugs, coverage will continue without disruption through Dec. 31, 2022. A prescribing provider must submit a formulary exception request if they wish for a member to continue taking the drug.

Drugs Moving to a Higher Tier
Effective for fill dates on or after Jan. 1, 2023, CarePartners of Connecticut will move certain drugs to a higher tier. For members currently taking these drugs, current coverage will continue for these drugs unchanged through Dec. 31, 2022. Providers and patients are encouraged to refer to the formulary for lower cost, lower tier potential therapeutic alternatives. If the available alternatives are not clinically appropriate, and your patient cannot afford the new copay, a tier exception can be requested and will be reviewed in accordance with CMS regulations as not all drugs are eligible for tier exceptions.

Please refer to the 2023 formularies.