Drug Coverage and Pricing Information


DRUG COVERAGE Look-up tool

For drug coverage on the MEDICAL BENEFIT
https://www.kmap-state-ks.us/Provider/PRICING/HCPCSSearch.asp

For drug coverage on the PHARMACY BENEFIT
https://www.kmap-state-ks.us/Provider/PRICING/NDCSearch.asp

National Average Drug Acquisition Cost (NADAC)

NADAC Help Desk

FFS/MCO Maximum Allowable Cost (MAC) Pricing

FEE-FOR-SERVICE Website Location:
https://www.kmap-state-ks.us/Documents/Content/Forms/Pharmacy/NDC_Pricing_Inquiries.pdf
AETNA BETTER HEALTH (CVS Caremark) Website Location:
https://rxservices.cvscaremark.com/
SUNFLOWER (CVS Caremark) Website Location:
https://rxservices.cvscaremark.com/
UNITED HEALTHCARE (OptumRx) Website Location:
https://professionals.optumrx.com/landing/kansas.html