The ConnPACE Exception Process

In January 2007, an Exception Review process was implemented to cut down on the costs ConnPACE incurs for medications deemed non-formulary by the Medicare Part D Plans. Pharmacy Technicians within the Department work on the claims submitted to ConnPACE for payment when the Medicare Part D Plan has indicated that a drug is non-formulary.

The Pharmacy Technicians work with the physicians, pharmacies, and Prescription Drug Plans to get exceptions and prior authorizations for these non-formulary medications. ConnPACE stands by all quantity limit restrictions the Part D Plans have enforced.

For a more in-depth look at the prescription drug exception process, click here