MedicaidPrior AuthHigh impact
Provider Bulletin - Ct Preferred Drug List 07.01.2020 pdf
Connecticut Medicaid (HUSKY Health)·CT·Pharmacy
Effective date
Jul 1, 2020
We identified it
Jun 20, 2026
Summary
Connecticut Medicaid updated their Preferred Drug List (PDL) effective July 1, 2020, requiring prior authorization for non-preferred medications. Pharmacies can provide a one-time 14-day supply override and a separate 5-day emergency supply when prior authorization is needed.
Action Required
Effective July 1, 2020: Billing team must obtain prior authorization for all non-preferred medications on Connecticut Medicaid PDL before dispensing. Update pharmacy billing system to recognize 14-day temporary supply override (enter all 9's in Prior Authorization Number field NCPDP 462-EV and '1' in Prior Authorization Type field NCPDP 461-EU). Provide DSS-authorized flier to patients receiving temporary supplies. For brand name preferred drugs, use DAW codes 5 or 9 instead of 1 unless medically necessary documentation exists. Claims for non-preferred drugs without prior authorization will be rejected.