Resource Number: 17317865
Description
Prior authorization is required for all Connecticut Medical Assistance Program (Medicaid, HUSKY B) recipients in the following situations:
1) When the doctor has prescribed a brand name drug for which there is a generic equivalent which is as safe and effective as the brand name medication

2) When the patient requests an early refill. (Early refill is when less than 85% of the prescription has been used)

For Medicaid recipients:

3) When the prescribed medicine is not on the preferred drug list.

If prior authorization is required on a particular drug, the pharmacist will have an opportunity to provide a one-time 14 day fill of the prescription. During this time, the pharmacist is encouraged to contact the doctor to request that they initiate the prior authorization.

4) Inquiries to verify pharmacy/drug benefits and eligibility

Program Phones: 866-409-8386 Open 24/7 for Information and Prior Authorizations - Voice 860-269-2030 Open 24/7 for Information and Prior Authorizations - Voice

Website: www.ctdssmap.com

Categorized as:

Medicaid Prior Authorization Skip Navigation Links.