Pharmacy Policy Branch

​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​Welcome to the Kentucky Medicaid Pharmacy Program page. 


Programs and Services

MedImpact Kentucky Fee for Service (FFS)​​ Pharmacy Benefit Manager (PBM)

Effective January 1, 2024, Kentucky will begin contracting with MedImpact as the pharmacy benefits manager for the fee for service population. The MedImpact member/provider portal will go live January 1, 2024. A list of member and provider notices and additional information released follows.​

Provider Correspondence​

​FFS PBM Pharmacy Provider Point-of-Sale (POS) Billing Manual ​
  • MedImpact Medicaid Payer Sheet
  • Kentucky Medicaid MAC Price Research Request Form - effective 1/1/2024​
  • Maximum Allowable Cost(MAC) Listing - Updated Monthly
  • Kentucky Medicaid Pharmacy Prior Authorization Form
  • 340B claims submission
  • Kentucky Medicaid Preferred Drug List (PDL)​ - Update Monthly

    • Member Correspondence​

    ​Member letter that accompanied new Medicaid id cards​​

    ​​​Pharmacy and Therapeutics

    Pharmacy and Therapeutics Advisory Committee

    ​Quick Links

    Centers for Medicare and Medicaid Services

    ​​​Managed Care Org​anizations

    Additional Boards​​​​​​​​

    ​​​​​​Important Update Notice**

    ​Automatic refill policy (10/21/24)

    Automatic refill policy (Updated 11/18/24)​

    Public Health Emergency Unwinding FAQ​

    Notices​​​- Last updated March 31, 2025

    ​340B Provider Notice ​- 4/1/2025

    ​340B Cover Letter

    340B FAQ'S

    340B Delivery System Flowchart​​​

    340B Participation letter​

    340B NON-Participation letter​

    Single Preferred Drug List

    Single PDL Kentucky Provider Notice

    Diabetic Supplies Kentucky Provider Notice

    Single PDL FAQs for Providers

    Single PDL FAQs for Members

    COVID-19 Testing and Vaccine Updates

    ​Point of Care Covid-19 Testing Protocol

    ​Covid-19 Member Home Test

    ​Provider Notice for Covid-19 Test Kits

    COVID-19 Vaccine Physician Protocol

    KY COVID 19 Testing Standing Order

    COVID 19 Pharmacy Guidance

    Updates

    FFS PAD authorization criteria​- Eff April 2025

    Kentucky Medicaid Fee for Service and Managed Care BIN/PCN​- Eff 1/1/24​

    ​ Medicaid Pharmacy Pricing

    Federal Poverty Level Notice

    Drug Cost Reimbursement for Physician Administered Drugs​​​

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    Additional Information

    Contact Information

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    Related Agencies

    Agency News