Pharmacy Information

Weight Loss Medications:

Starting July 1, 2023, medications prescribed for weight loss or weight management will only be covered if the prescribing physician is part of Flyte Health or Connecticut Children’s Weight Management programs.

FLYTE HEALTH is a virtual medical weight loss program for those 18 and older. Clinical weight management specialists evaluate your blood work, lifestyle, and medical history to prescribe medication to help you lose weight safely. A Registered Dietician will assist with meal planning and a digital scale and blood pressure cuff are provided to upload activity to the Flyte Health app and your entire Flyte care team. GET STARTED / Check your BMI

Connecticut Children’s offers a weight management program for eligible plan members under age 18. There are four locations where you can see one of their medical weight loss providers. Monthly education sessions are also available for children, teens, and their families to help build physical activity and healthy eating in your child’s care. Program Handout

If your prescription was written before June 30, 2023 and you were covered by the state of Connecticut health plan, you will be able to continue with refills as prescribed by your provider.

For questions on pharmacy benefits or on weight management programs, contact a Care Coordinator at 833-740-3258.

Medications Denial Information:

If your Weight Management Medication was denied at the pharmacy, common reasons are:

1. A state approved Flyte Health provider did not prescribe this medication. Please enroll by visiting joinflyte.com/care-compass and filling out the application.
2. The Prior Authorization has not yet been processed. Please wait 5 business days and then call your pharmacy to attempt processing again. We do not recommend going to your pharmacy directly as there may be other issues delaying processing.
3. Refill too soon. You may be attempting to refill a prescription before you can. Please check your prescription label for the number of refills allowed and how long your supply should last before attempting to refill.

If these situations do not apply to you, please contact Caremark at 800-318-2572 for assistance.

Frequently Asked Questions Check your BMI  Complete Flyte application

90-Day Supply For Maintenance Medications:

If you or your family member takes a maintenance medication, you are required to get your maintenance prescriptions as 90-day fills. You can get your first 30-day fill of a new medication at any participating pharmacy. After that, your two choices are:

• Receive your medication through the CVS Caremark mail-order pharmacy, or
• Fill your medication at a pharmacy that participates in the State’s Maintenance Drug Network (see the list of participating pharmacies).

To request an exemption to continue receive 30 days’ supply, have your provider complete the Mandatory Mail Exception form.

To check which copay amount applies to your prescriptions, visit www.Caremark.com. Once you log in or register, click Plan & Benefits, then Check Drug Cost & Coverage. Type the name of the drug you want to look up and the form and strength (if applicable), then click View Pricing.

Find a Participating PharmacyMandatory Mail Exception Form

Prescription Plan Documents

Prescription Plan Document: State Employee & State Retiree (English) (Spanish)

Prescription Plan Document: State Partnership Plan (English) (Spanish)