Pharmacy Prior Authorization Guidelines

Aetna Better Health of Kansas adheres to the KanCare PDL clinical criteria to make decisions when you send in a request for a drug on the formulary/PDL that needs a review prior to being dispensed. To access the clinical criteria, click here to be taken to the KanCare Pharmacy Clinical Criteria.

To have a copy of these guidelines sent to you or to have any questions answered, just call Provider Relations at 1-855-221-5656.