Prior authorization for certain Part B drugs

As you are aware, CarePartners of Connecticut requires prior authorization for many medical benefit drugs, and you can find prior authorization and coverage criteria for these drugs in the Provider Resource Center on our provider website.

We recently encountered a temporary system error that resulted in a number of medically administered Medicare Part B drugs not appropriately requiring an authorization as they should for our members. You can find the list of drugs impacted by this system error on this page, which also designates whether or not each drug is associated with a Medicare Part B step therapy requirement.

This system error has been corrected and the drugs are properly configured to require the necessary prior authorizations as a condition of coverage. If any of your CarePartners of Connecticut patients are currently taking any of these medications and you have not previously obtained prior authorization, please submit a prior authorization request.

We appreciate your patience and understanding and apologize for any confusion this may cause.