Pharmacy Policy Branch

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

Programs and Services

MedImpact Kentucky FFS (Fee for Service)​​ 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​

Fee-For-Service (FFS) Pharmacy Benefit Manager (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

    ​​​Pharmacy and Therapeutics

    Pharmacy and Therapeutics Advisory Committee

    ​Quick Links

    Centers for Medicare and Medicaid Services

    ​​​Managed Care Org​anizations

    Additional Boards​​​​​​​​