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Drug Information

Information related to covered products and services.

Drug Information DATE ADDED
Download PDF -  Over-the-Counter (OTC) Drug List *Effective 10/06/2023* Over-the-Counter (OTC) Drug List *Effective 10/06/2023* 09/20/2023
Download PDF - Over-the-Counter (OTC) Drug List Over-the-Counter (OTC) Drug List 07/25/2023
Download PDF -  Kentucky Medicaid Vaccine List Kentucky Medicaid Vaccine List 09/22/2023
Download PDF - Kentucky Medicaid Pharmacy Injectable Drug List Kentucky Medicaid Pharmacy Injectable Drug List 09/20/2022
Download PDF - Aduhelm - Prescriber Administered Drug Prior Authorization Criteria Aduhelm - Prescriber Administered Drug Prior Authorization Criteria 04/08/2022
Link to Diabetic Supplies Preferred Drug ListDiabetic Supplies Preferred Drug List 06/29/2021
Link to Maximum Quantity Limits List Maximum Quantity Limits List 06/15/2021
Link to Prior Authorization (PA) Criteria Prior Authorization (PA) Criteria 06/15/2021
Link to Preferred Drug List (PDL) Preferred Drug List (PDL) 06/15/2021

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