Drug Information
| Preferred Drug List (PDL) | DATE ADDED |
|---|---|
| Kentucky Medicaid PDL Effective 5.1.2026 | 05/08/2026 |
Kentucky Medicaid PDL Effective 5.1.2026
| Prior Authorization (PA) Criteria | DATE ADDED |
|---|---|
| Prior Authorization (PA) Effective 5.1.2026 | 05/08/2026 |
| Brinsupri PA Criteria – Effective 4.1.2026 | 03/17/2026 |
| Zepbound PA Criteria - Effective 7.1.2025 | 07/01/2025 |
| Wegovy PA Criteria - Effective 1.3.2026 | 01/03/2026 |
| Quantity Limits | DATE ADDED |
|---|---|
| Maximum Quantity Limits - Effective 5.1.2026 | 05/08/2026 |
| Other Drug Information | DATE ADDED |
|---|---|
| Diabetic Supplies Preferred Drug List - Effective 1.29.2026 | 02/04/2026 |
| KY Medicaid Pharmacy Injectable Drug List | 04/09/2026 |
| Kentucky Medicaid Vaccine List - FFS & MCO | 02/11/2025 |
| Over-the-Counter (OTC) Drug List - FFS Only | 06/24/2025 |
| Over-the-Counter (OTC) Drug List - MCO Only | 02/09/2026 |
| Rebateable NDCs for OTC | 03/27/2026 |
| Zynteglo-Prescriber Administered Drug Prior Authorization Criteria - Effective 712025 | 06/18/2025 |