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CenCal CareConnect Pharmacy

Welcome to the Pharmacy Information page for CenCal CareConnect (HMO D-SNP), the Dual Eligible Special Needs Plan offered by CenCal Health. This page provides key information and resources to support prescribing and dispensing medications under both Medicare Part D and Medicare Part B for our D-SNP members.

Please refer to the sections below for guidance on coverage criteria, formularies, prior authorization, and billing information.

Part B – Provider-Administered Medications

CenCal CareConnect covers outpatient prescription drugs through Medicare Part D. Below you’ll find essential information and documents:

Part D Forms

UM Prior Authorization Request Form

CenCal Health and CenCal CareConnect (HMO D-SNP) Authorization Request Form

Part D – Outpatient Prescription Drugs

CenCal CareConnect covers outpatient prescription drugs through Medicare Part D. Below you’ll find essential information and documents:

Part D Forms

Drug List / Formulary

List of covered prescription drugs.