Provider Pharmacy

Formularies

2024

• 2024 CarePartners of Connecticut HMO Formulary
• 2024 CarePartners of Connecticut PPO Formulary
• CarePartners of Connecticut Searchable Formulary (List of Covered Drugs)

Step Therapy and Prior Authorization Guidelines

2024

• 2024 CarePartners of Connecticut HMO Step Therapy Prior Authorization Medical Necessity Guidelines
• 2024 CarePartners of Connecticut HMO Prior Authorization Medical Necessity Guidelines
• 2024 CarePartners of Connecticut PPO Step Therapy Prior Authorization Medical Necessity Guidelines
• 2024 CarePartners of Connecticut PPO Prior Authorization Medical Necessity Guidelines

Forms

• Coverage Determination and Prior Authorization Request Form: Medicare "Part B versus Part D" Drugs
• Hepatitis C Medication Request Form
• Request For Medicare Prescription Drug Coverage Determination

Pharmacy Updates

Monthly pharmacy updates for CarePartners of Connecticut members: