MedicaidPrior AuthMedium impact
New Coverage Guidelines for Zulresso pdf
Connecticut Medicaid (HUSKY Health)·CT · OB-GYN, Psychiatry, Family Medicine·Provider Bulletin
Effective date
Nov 1, 2019
We identified it
Jun 20, 2026
Summary
Connecticut Medical Assistance Program (Medicaid) has established new coverage guidelines and prior authorization requirements for Zulresso (brexanolone), a medication for postpartum depression. Providers must use a newly created Zulresso Prior Authorization Request Form and submit clinical documentation supporting medical necessity.
Action Required
By November 1, 2019: Download and begin using the new Zulresso Prior Authorization Request Form from www.ct.gov/husky for all Zulresso requests. Ordering physicians must complete and sign the form. Billing team must submit clinical documentation supporting medical necessity with each PA request. Contact CHNCT at 1-800-440-5071 for PA process questions. Failure to submit complete documentation within 20 business days may result in denial.