MedicaidPrior AuthMedium impact
2025.62 - 01.01.2026 changes to the Connecticut Medicaid Preferred Drug List - Reminder Regarding the 5-day Emergency supply - Billing Clarification for Brand Name Medications on the Preferred Drug List - Pharmacy Web PA Tool
Connecticut Medicaid (HUSKY Health)·CT·Pharmacy
Effective date
Jan 1, 2026
We identified it
Jun 20, 2026
Summary
Connecticut Medicaid updated their Preferred Drug List effective January 1, 2026, with new prior authorization requirements for non-preferred medications and clarified billing procedures for preferred brand name drugs. Pharmacies can dispense a one-time 14-day supply without PA, and an additional 5-day emergency supply is available through the call center.
Action Required
By January 1, 2026: Billing team must update pharmacy billing system to reflect new Connecticut Medicaid Preferred Drug List changes. Configure system to require prior authorization for non-preferred medications. Update billing procedures to use DAW codes '5' or '9' (not '1') when dispensing preferred brand name medications without medical necessity documentation. Train pharmacy staff on new 14-day temporary supply and 5-day emergency supply procedures. Failure to obtain required prior authorizations will result in claim rejections.