MedicaidAdministrativeMedium impact
2025.16 - Provider Bulletin - Pharmacists Prescribing and Dispensing Emergency or Hormonal Contraceptives
Connecticut Medicaid (HUSKY Health)·CT · OB-GYN, Family Medicine, Internal Medicine·Provider Bulletin
Effective date
May 1, 2025
We identified it
Jun 20, 2026
Summary
Effective May 1, 2025, certified pharmacists in Connecticut can prescribe and dispense emergency or hormonal contraceptives for Medicaid patients. Pharmacists can use their own NPI as the prescribing provider on claims, but cannot submit prior authorizations for non-preferred products - only physicians, APRNs, or PAs can submit prior auths.
Action Required
By May 1, 2025: Billing team must update systems to accept pharmacist NPIs as prescribing providers for emergency and hormonal contraceptive claims in Connecticut Medicaid. Verify that prior authorization workflows still route to physicians/APRNs/PAs only, not pharmacists, for non-preferred contraceptive products. Update claim processing rules to allow pharmacy NPIs when individual pharmacist NPI is unavailable.