MedicaidPrior AuthMedium impact
Changes to the CT Medicaid Preferred Drug List - 07.01.2021 pdf
Connecticut Medicaid (HUSKY Health)·CT · Family Medicine, Internal Medicine, General Practice +1 more·Pharmacy
Effective date
Jul 1, 2021
We identified it
Jun 20, 2026
Summary
Connecticut Medicaid updated their Preferred Drug List (PDL) effective July 1, 2021, requiring prior authorization for non-preferred medications and clarifying billing procedures for brand name preferred drugs. Pharmacists can provide one-time 14-day supplies for non-preferred drugs while prior authorization is obtained.
Action Required
Immediately: Billing team must verify current Connecticut Medicaid PDL at www.ctdssmap.com before dispensing medications. Pharmacists should use DAW code '5' or '9' (not '1') when dispensing preferred brand medications unless medically necessary documentation exists. Maintain written 'Brand Medically Necessary' documentation in prescriber's handwriting to avoid audit recoupments. Utilize Web PA tool for prior authorization requests for non-preferred medications.