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Documents

Manuals, payer specs, newsletters and more!

Provider Directory DATE ADDED
Kentucky Medicaid Provider Directory 06/16/2021
Payer Specs DATE ADDED
Emergency Preparedness Pharmacy Communications 12/12/2021
Kentucky Medicaid D.0 Payer Specs 06/15/2021
Drug Information DATE ADDED
Preferred Drug List (PDL) 06/15/2021
Over-the-Counter (OTC) Drug List **Effective 2/4/2022** 01/21/2022
Over-the-Counter (OTC) Drug List 07/05/2021
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
Pharmacy and Therapeutics (P&T) Advisory Committee DATE ADDED
Commissioner's Final Decisions - May 20, 2021 07/14/2021
Manuals DATE ADDED
Provider Billing Manual 09/07/2021
Provider Notices & Newsletters DATE ADDED
COVID-19 Testing Physician Protocol/Standing Order 01/28/2022
Provider Notice Covid-19 Test Kits and Member Letter Covid-19 Test Kits 01/28/2022
Pharmacy Newsletter, October 2021 11/29/2021
340B Frequently Asked Questions June 30, 2021 07/01/2021
Provider Mailing June 21, 2021 09/07/2021
Provider SB 51 Notice June 10, 2021 06/16/2021
Provider Pharmacy Program Notice 06/16/2021
Pharmacy 835 Communication June 8, 2021 06/15/2021
Provider Mailing June 1, 2021 06/15/2021
Provider Mailing May 1, 2021 06/15/2021
Provider Mailing April 1, 2021 06/15/2021
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