MedicaidPrior AuthMedium impact
Changes to the Connecticut Medicaid PDL pdf
Connecticut Medicaid (HUSKY Health)·CT·Pharmacy
Effective date
Jan 1, 2019
We identified it
Jun 20, 2026
Summary
Connecticut Medicaid updated their Preferred Drug List (PDL) effective January 1, 2019, with changes to preferred and non-preferred medications. New billing clarifications allow pharmacies to use DAW codes 5 or 9 for preferred brand medications without requiring prior authorization, while non-preferred drugs continue to require PA with temporary supply options.
Action Required
By January 1, 2019: Billing team must update pharmacy billing procedures for Connecticut Medicaid patients to use DAW codes 5 or 9 when dispensing preferred brand medications instead of DAW code 1. Train staff on new 14-day temporary supply override process using all 9's in Prior Authorization Number field (NCPDP 462-EV) and numeric value '1' in Prior Authorization Type field (NCPDP 461-EU). Update prior authorization workflows to include new web-based PA system at www.ctdssmap.com. Claims for non-preferred medications without proper PA will be denied.