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Get the medications you need

Your CCA Medicare Maximum (HMO D-SNP) plan covers a wide range of both brand-name and generic prescription drugs at no cost to you. Use the resources below to find out if a medication is covered by CCA Health and if it requires step therapy or pre-approval

Use our CCA Medicare Maximum Drug directory to search by drug name or type.
List of Covered Drugs 2022

CCA Rhode Island Medicare Maximum Covered Drugs

CCA RI Medicare Maximum Prior Authorization Criteria

CCA RI Medicare Maximum Step Therapy Criteria

List of Covered Drugs 2023

CCA Rhode Island Medicare Maximum Covered Drugs (2023)

CCA RI Medicare Maximum Prior Authorization Criteria (2023)

CCA RI Medicare Maximum Step Therapy Criteria (2023)

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Preferred Diabetes Test Strips

CCA Health partners with Abbott Diabetes Care and Lifescan Products to provide the following diabetes test strip products. Some restrictions may apply.

If you or your doctor believe you should use a different diabetes care product than those listed above, you may request an exception through the prior authorization process. Click here for information on how to request a prior authorization.

Changes to the List of Covered Drugs

We may add or remove drugs from the list of covered drugs during the year. If we remove a drug or make a change regarding a drug you use, we will notify you at least 60 days before the change becomes effective. However, if the Food and Drug Administration (FDA) determines that a drug on our list is unsafe, or if the drug’s manufacturer removes the drug from the market, we will immediately remove the drug from our list of covered drugs and notify you. Learn more about drug recalls. 

You can view the latest updates to our list of covered drugs below:

What if my drug is not on the list?

If your drug is not included in the list of covered drugs, you should first contact CCA Health Member Services and confirm that your drug is not covered. If we do not cover your drug, you have two options:

  1. Ask Member Services for a list of similar drugs that are covered. Show the list to your doctor and ask him or her to prescribe a similar drug that we cover.
  2. Ask us to make an exception and cover your drug. Click here for information about how to file a pharmacy appeal.

We can offer a temporary supply when the drug you have been taking is no longer on the list of drugs CCA Health covers, or when the drug becomes restricted in some way (please note: only members in certain situations can get a temporary supply). A temporary supply can give you time to talk with your doctor about what to do. 

There are different rules for getting a temporary supply depending on your status as a CCA Health member. Contact CCA Health Member Services to see if you qualify. 

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