Welcome to the Kentucky Cabinet for Health and Family Services, Department for Medicaid Services Fee-For-Service Pharmacy Program portal, administered and maintained in conjunction with Magellan Medicaid Administration.
The web portal provides online access to prescription and Kentucky specific plan information as well as supporting documentation.
Preferred Drug List (PDL)
View the most current PDL
View the most current Prior Authorization (PA) Criteria
Managed Care Contact Information
- MedImpact
- Telephone: 1-844-336-2676
- Fax: 1-858-357-2612
- Anthem Blue Cross and Blue Shield Medicaid
- Telephone: 1-855-661-2028
- Website: mss.anthem.com/ky
- Aetna Better Health® of Kentucky
- Telephone: 1-855-300-5528
- Website: www.aetnabetterhealth.com/kentucky
- Humana Healthy Horizons in Kentucky
- Telephone: 1-800-555-2546
- Website: https://www.humana.com/medicaid/kentucky-medicaid
- Passport Health Plan by Molina Healthcare
- Telephone: 1-800-578-0775
- Website: www.passporthealthplan.com
- United Healthcare
- Telephone: 1-800-310-6826
- Website: https://www.uhccommunityplan.com/ky/medicaid/community-plan
- WellCare of Kentucky
- Telephone: 1-877-389-9457
- Website: https://www.wellcare.com/kentucky
Kentucky Medicaid Fee-For-Service Pharmacy and Therapeutics (P & T) Advisory Committee Meetings
- Thursday, January 20, 2022 from 1 PM - 4:00 PM Eastern - **CANCELLED**
- Thursday, March 17, 2022 from 1 PM - 4:00 PM Eastern - **SPECIAL CALLED MEETING**
- Thursday, May 19, 2022 from 1 PM - 4:00 PM Eastern - **SPECIAL CALLED MEETING**
- Thursday, July 21, 2022 from 1 PM - 4:00 PM Eastern - **CANCELLED**
- Thursday, September 15, 2022 from 1 PM - 4:00 PM Eastern - **SPECIAL CALLED MEETING**
- Thursday, November 17, 2022 from 1 PM - 4:00 PM Eastern - **SPECIAL CALLED MEETING**
More information will be posted under the Committees/P & T tab as meeting dates approach.
Kentucky Medicaid Fee-For-Service Drug Management Review Advisory Board (DMRAB) Meetings
- DMRAB meetings have not been scheduled for 2022 because the committee is unable to attain a quorum at this time.
November 2022
November 2022 Pharmacy and Therapeutics (P & T) Advisory Committee Special Called Meeting Announcement
NOTICE: The regular, in-person P & T meeting scheduled for November 17th is cancelled; instead, a special called webinar meeting will be held on November 17th at 1 PM Eastern.
* Please see the meeting agenda for access information. This session is open to the public.
November 2022 Pharmacy and Therapeutics (P & T) Advisory Committee Zoom Webinar Information
Registration is now open.
https://magellanhealth.zoom.us/webinar/register/WN_dnqnHXt3QV-H7ByRml5dOg
Please see below for Zoom webinar access information.
https://magellanhealth.zoom.us/s/98107680594
Dial: +1 312 626 6799 (US Toll) or +1 646 558 8656 (US Toll)
Zoom Webinar ID: 981 0768 0594 / Password: 557792
*This session is open to the public.
Vaccine Counseling Billing Guidance and MAT Drug Dispense Fee FAQ
Please see below for the links to documents regarding Vaccine Counseling Billing Guidance and frequently asked questions (FAQ) for the Medication-Assisted Treatment (MAT) Drugs dispensing fee change.
August 2022
September 2022 Pharmacy and Therapeutics (P & T) Advisory Committee Special Called Meeting Announcement
NOTICE: The regular, in-person P & T meeting scheduled for September 15th is cancelled; instead, a special called webinar meeting will be held on September 15th at 1 PM Eastern.
* Please see the meeting agenda for access information. This session is open to the public.
September 2022 Pharmacy and Therapeutics (P & T) Advisory Committee Zoom Webinar Information
Registration is now open.
https://magellanhealth.zoom.us/webinar/register/WN_z6haEAKhTemOkZ4WlSaDwg
Please see below for Zoom webinar access information.
https://magellanhealth.zoom.us/s/94900334935
Dial: +1 312 626 6799 (US Toll) or +1 646 558 8656 (US Toll)
Zoom Webinar ID: 949 0033 4935 / Password: 563831
*This session is open to the public.
July 2022
Kentucky Emergency Preparedness Communication
Kentucky Medicaid has activated emergency procedures for members affected by the flooding in Eastern Kentucky on July 28th, 2022. These procedures will be terminated as of August 31, 2022.
The member must identify themselves as having lost their medication due to the recent flooding. The pharmacist can then utilize the Submission Clarification Code (420-DK) =13 indicating Payer-Recognized Emergency/Disaster Assistance Request. By utilizing this Submission Clarification Code, the pharmacist is indicating that the override is needed due to the emergency that is recognized by the payer.
June 2022
July 2022 Pharmacy and Therapeutics (P & T) Advisory Committee Meeting Cancelled
NOTICE: The P & T agenda scheduled for July 2022 will be rolled into the September 2022 meeting.
* The next scheduled meeting is on September 15, 2022.
April 2022
May 2022 Pharmacy and Therapeutics (P & T) Advisory Committee Special Called Meeting Announcement
NOTICE: The regular, in-person P & T meeting scheduled for May 19 is cancelled; instead, a special called webinar meeting will be held on May 19th at 1 PM Eastern.
* Please see the meeting agenda for access information. This session is open to the public.
May 2022 Pharmacy and Therapeutics (P & T) Advisory Committee Zoom Webinar Information
Registration is now open.
https://magellanhealth.zoom.us/webinar/register/WN_7x2__FKbT4yZ-rM0dZHbjA
Please see below for Zoom webinar access information.
https://magellanhealth.zoom.us/s/93101597504
Dial: +1 312 626 6799 (US Toll) or +1 646 558 8656 (US Toll)
Zoom Webinar ID: 931 0159 7504 / Password: 981071
*This session is open to the public.
March 2022
March 2022 Pharmacy and Therapeutics (P & T) Advisory Committee Special Called Meeting Announcement
NOTICE: The regular, in-person P & T meeting scheduled for March 17 is cancelled; instead, a special called webinar meeting will be held on March 17th at 1 PM Eastern.
* Please see the meeting agenda for access information. This session is open to the public.
March 2022 Pharmacy and Therapeutics (P & T) Advisory Committee Zoom Webinar Information
Registration is now open.
https://magellanhealth.zoom.us/webinar/register/WN_nRUY_p3JRxS-bPNDU2gTZw
Please see below for Zoom webinar access information.
https://magellanhealth.zoom.us/s/99337766415
Dial: +1 312 626 6799 (US Toll) or +1 646 558 8656 (US Toll)
Zoom Webinar ID: 993 3776 6415 / Password: 425341
*This session is open to the public.
February 2022
340B Information
Please see documents below for new information regarding 340B Participation.
January 2022
January 2022 Pharmacy and Therapeutics (P & T) Advisory Committee Meeting Cancelled
NOTICE: The P & T agenda scheduled for January 2022 will be rolled into the March 2022 meeting.
* The next scheduled meeting is on March 17, 2022.