KanCare and Medicaid - Pharmacy
 

Pharmacy


  • Billing Information
    • DME Provider Billing
    • FFS/MCO Billing Codes for Point-of-Sale Claims
    • Not Otherwise Classified or Specified Procedure Code to National Drug Code (NDC) Crosswalk Information
  • Clinical Programs
    • DUR-Drug Utilization Review Program
    • MHMAC - Mental Health Medication Advisory Committee
    • PDL-Preferred Drug List Program
  • Drug Pricing Information
  • Drug Rebate Program
    • Participating Manufacturers
    • Supplemental Rebates
  • Eligibility Verification
  • Grievances and Appeals
  • Medicaid Pharmacy Communication Opportunity
  • Prior Authorization
    • Advanced Medical Hold Manual Review
    • General Clinical
    • Non-Preferred PDL
  • Prior Authorization - Process Information
    • Prior Authorization – Contact Information
    • Prior Authorization - Emergency Dispensing of PA Medications
    • For Pharmacy claims refer to the KMAP Pharmacy Manual
    • For Professional claims refer to the KMAP General Special Requirements Manual
       
  • Step Therapy
  • 340B Pharmacy Information
  • 90 Day Maintenance Drug List

  • KanCare Logo
  • Website Link to General KanCare Information