MedicaidPrior AuthMedium impact
2025.27 - Provider Bulletin - July 1, 2025 Changes to the Connecticut Medicaid Preferred Drug List
Connecticut Medicaid (HUSKY Health)·CT·Pharmacy
Effective date
Jul 1, 2025
We identified it
Jun 20, 2026
Summary
Connecticut Medicaid updated its Preferred Drug List (PDL) effective July 1, 2025, requiring prior authorization for non-preferred medications and introducing new billing procedures for brand name drugs. The policy clarifies DAW coding requirements and establishes emergency supply provisions for non-preferred medications.
Action Required
Immediately: Billing team must verify Connecticut Medicaid patients' prescribed medications against the updated PDL at www.ctdssmap.com. Update billing procedures to use DAW codes '5' or '9' (not '1') when dispensing preferred brand medications unless medically necessary documentation exists. Ensure prior authorization processes are in place for non-preferred drugs. Providers should proactively switch patients to preferred medications or obtain PA before July 1, 2025 to avoid claim processing delays.