Medical drug program updates

You can refer to the chart below to review changes and updates related to CarePartners of Connecticut's prior authorization and coverage program for medical drugs.

Medications being added to prior authorization

Drug(s)  

Effective date

Policy & additional information

Rytelo 

(imetelstat)

1/1/2025

Rytelo (imetelstat)

Prior authorization will be required for Rytelo (HCPCS C9399, J3490), approved by the FDA in April 2024 for the treatment of adult patients with low- to intermediate-1 risk myelodysplastic syndromes with transfusion-dependent anemia requiring 4 or more red blood cell units over 8 weeks who have not responded to or have lost response to or are ineligible for erythropoiesis-stimulating agents.

Botulinum Toxins

 

2/1/2025

Botulinum Toxins

Leqvio (inclisiran)

2/1/2025

Leqvio (inclisiran)

Spravato (esketamine)

2/1/2025

Spravato (esketamine)