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July 1, 2018 Changes to the Connecticut Medicaid Preferred Drug List (PDL) pdf
Connecticut Medicaid (HUSKY Health)·CT·Pharmacy
Effective date
Jul 1, 2018
We identified it
Jun 20, 2026
Summary
Connecticut Medicaid has updated its Preferred Drug List (PDL) effective July 1, 2018, requiring prior authorization for non-preferred medications and allowing pharmacists to dispense one-time 14-day supplies while PA is pending. The policy also clarifies billing procedures for brand name medications on the PDL using specific DAW codes.
Action Required
Immediately: Billing team must update procedures for Connecticut Medicaid (HUSKY A, C, D, TB, FAMPL) patients to verify preferred drug status before prescribing non-preferred medications. Providers must obtain prior authorization from DXC Technology for non-preferred drugs or switch to preferred alternatives. Pharmacies may bill one-time 14-day supplies using all 9's in Prior Authorization Number field (NCPDP 462-EV) and numeric value '1' in Prior Authorization Type field (NCPDP 461-EU). For brand name preferred drugs, use DAW codes '5' or '9' instead of '1' unless medically necessary documentation exists to avoid audit recoupment.