Page 25 - Commercial Group Member Guidebook
P. 25

Terms and definitionsnfidentially Speaking
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                  Pharmacy Benefits

                  DRUG COSTS INCREASE BY ABOUT 15-20% EVERY YEAR.

                  Follow these directions to save money

                  •    Carry your ConnectiCare ID card in your wallet and show it whenever you fill a prescription. Use a
                      participating pharmacy.

                  •   Whenever possible, ask your doctor to prescribe generic drugs. They’re effective, FDA-approved,
                      cost less, and contain the same active ingredients as brand-name drugs.
                  •   If no generic is equivalent available, stick with brand-name drugs listed on lower-tier levels in the
                      ConnectiCare Prescription Drug List.

                  •   For the most up-to-date drug list, go to www.connecticare.com and select Pharmacy Center.
                      We update the list frequently, so check back often. You can also request a printed copy by calling
                      (860) 674-5757 or 1-800-251-7722, or by e-mailing us at info@connecticare.com. Once you’re a
                      member, you can e-mail us through our secure messaging online.

                  •   If your doctor doesn’t prescribe a generic drug, ask your pharmacist to call him/her to suggest one.
                      You could lower your out-of-pocket cost. Most plans will automatically substitute generics for you.

                  •   Some medications covered by ConnectiCare need prior approval and some have quantity limits.
                      To find out if these rules apply, go to www.connecticare.com and click on Pharmacy Center.








                 Prescription drug pre-authorization

                 Drugs that require pre-authorization are identified on our drug list with a “PA” next to their names.
                 Make sure your physician contacts ConnectiCare before prescribing these medications. To learn
                 more about the types of drugs we manage:

                 •  Visit www.connecticare.com and click on Pharmacy Center.
                 •  Select Pre-Authorization Program


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