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Kentucky Medicaid pharmacy program

As of July 1, 2021, MedImpact administers pharmacy benefits for all Medicaid enrollees in Kentucky, including Humana Healthy Horizons™ in Kentucky enrollees. All of your previous pharmacy benefits will remain the same. You do not have to do anything. All of our covered households received a letter about this change. Below, you’ll also find a link to the letter we sent enrollees.

Pharmacy program changes effective July 1, 2021, PDF opens new window

Over-the-counter drug list

Kentucky Medicaid covers certain over-the-counter (OTC) drugs. For Kentucky Medicaid to cover an OTC drug at no cost to you or your family:

  • Your doctor must write you a prescription for the OTC product
  • You must present the prescription at the pharmacy where you want to purchase the OTC drug

Below, we include a link to OTC products covered as part of your pharmacy benefit as of July 1, 2021. Please:

  • Ask your doctor to review the list to make sure any OTC product you take or may take is covered
  • Talk to your doctor and/or pharmacist about the product before you take it the first time

Over-the-counter drug list, PDF opens new window

Preferred Drug List

You can access a full range of safe and effective medicines. These medicines are part of a formulary, or Preferred Drug List (PDL). The medicines on the PDL are available at no cost to you.

Your doctor will use the PDL to choose the best medicine to treat you and your condition.

View a list of preferred drugs covered under the Kentucky PDL, opens new window.

Prior authorizations

If you use medicine that did not need a prior authorization prior to July 1, 2021, and needs a prior authorization after July 1, 2021, you will have 90 days to transition to a preferred alternative or have your doctor submit a prior authorization request to MedImpact. If you take medicine, talk to the doctor who prescribed the medicine to you to learn more about how you are affected, if at all.

Let your doctor know that he or she must submit a Kentucky Medicaid Pharmacy Prior Authorization Form, PDF opens new window to MedImpact, if a medicine you take needs prior authorization before you can get it.

More medicine resources

If you pay for medicine out of pocket

We hope you don’t have to pay for any medicines out of pocket. If you do, fill out and send us a Prescription Drug Reimbursement Claim Form, and you may get a refund. We make the Prescription Drug Reimbursement Claim Form available in English, opens new window and in Spanish, opens new window

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Documents & forms

Find the documents and forms you need, including your Enrollee Handbook.