Member Documents
Beneficiary resources, updated frequently.
| Provider Directory | DATE ADDED |
|---|---|
 Kentucky Medicaid Provider Directory
|
06/16/2021 |
| Drug Information | DATE ADDED |
|---|---|
|
Preferred Drug List (PDL)
|
06/15/2021 |
|
Over-the-Counter (OTC) Drug List
|
01/31/2022 |
|
Maximum Quantity Limits List
|
06/15/2021 |
|
Prior Authorization (PA) Criteria
|
06/15/2021 |
|
Diabetic Supplies Preferred Drug List
|
06/29/2021 |
|
Kentucky Medicaid Vaccine List
|
07/13/2021 |
|
Kentucky Medicaid Vaccine List *Effective 6/2/2022*
|
05/09/2022 |
|
Kentucky Medicaid Pharmacy Injectable Drug List
|
09/20/2022 |
| Member Notices | DATE ADDED |
|---|---|
|
Aetna Pharmacy Program Member Notice
|
06/16/2021 |
|
Anthem Pharmacy Program Member Notice
|
06/16/2021 |
|
Humana Pharmacy Program Member Notice
|
06/16/2021 |
|
Passport Pharmacy Program Member Notice
|
06/16/2021 |
|
UnitedHealthcare Pharmacy Program Member Notice
|
06/16/2021 |
|
WellCare Pharmacy Program Member Notice
|
06/16/2021 |
| Pharmacy and Therapeutics (P&T) Advisory Committee | DATE ADDED |
|---|---|
|
Commissioner's Final Decisions - May 20, 2021
|
07/14/2021 |