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Use this link for a printer-friendly Preferred Drug Listing — full list.

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Information provided by the drug lookup tool does not guarantee coverage or payment from Kentucky Medicaid. You can learn more about a member’s eligibility by exploring the member eligibility function of this Web Portal. However, real-time claim submission provides the most accurate member enrollment, drug coverage, recipient portion responsibility, and provider reimbursement information.
NDC Drug Name Generic Name Strength/Form Covered? PDL Status Clinical PA Required? Qty Limit? ICD9/10