Provider Pharmacy
Formularies
2024
- 2024 CarePartners of Connecticut HMO Formulary
- 2024 CarePartners of Connecticut PPO Formulary
- CarePartners of Connecticut Searchable Formulary (List of Covered Drugs)
2025
- 2025 CarePartners of Connecticut HMO Formulary
- 2025 CarePartners of Connecticut PPO Formulary
- CarePartners of Connecticut Searchable Formulary (List of Covered Drugs)
Step Therapy and Prior Authorization Guidelines
2024
- 2024 CarePartners of Connecticut HMO Step Therapy Prior Authorization Medical Necessity Guidelines
- 2024 CarePartners of Connecticut HMO Prior Authorization Medical Necessity Guidelines
- 2024 CarePartners of Connecticut PPO Step Therapy Prior Authorization Medical Necessity Guidelines
- 2024 CarePartners of Connecticut PPO Prior Authorization Medical Necessity Guidelines
Forms
- Coverage Determination and Prior Authorization Request Form: Medicare "Part B versus Part D" Drugs
- Hepatitis C Medication Request Form
- Request For Medicare Prescription Drug Coverage Determination