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Your pharmacy benefits

At Aetna Better Health® of Kentucky, we cover a wide range of prescription and over-the-counter (OTC) medications to keep you healthier. For questions regarding medications or prescription approvals, contact MedImpact at 1-800-210-7628 (TTY: 711) or visit their website

Medications my plan covers

Medications my plan covers

Prescription medications

You can easily check the prescription medications we cover: 

 

Statewide preferred drug list (PDL) (PDF)

 

Need Prior Authorization (PA)? Just ask your provider to fill out a pharmacy PA form. Or they can call MedImpact at 1-844-336-2676 (TTY: 711).

 

As of 7/1/2021, your health plan’s pharmacy benefit manager will change to MedImpact. When this happens, reimbursement for out-of-pocket pharmacy expenses will no longer be paid.

OTC medications

 

Kentucky Medicaid covers certain over the counter (OTC) drugs that are products that are available to all consumers for purchase without a prescription.

 

In order for an OTC drug to be covered under your benefit at no cost to you or your family, a prescription for the OTC product is required to be written by your physician and presented at the pharmacy.

 

Click here for a list of all Over-the-Counter Products that are covered beginning 7/1/2021.

 

Please have your physician review this list to determine if the OTC product you need is covered. Also, please remember to consult your prescriber or pharmacist before taking these drugs.

 

If you have any questions, please contact MedImpact at 1-800-210-7628 (TTY: 711) or visit their website.

Other drug lists

 

You can see the list of medications we cover for Preferred Diabetic: 

Preferred Diabetic (PDF)


Quantity Level Limits (QLL)  (PDF)

 

If you have any questions, please contact MedImpact at 1-800-210-7628 (TTY: 711) or visit their website.

 

For more info, you can visit the Kentucky Department of Medicaid Services website.

 

Get medications and refills

Get medications and refills

If you need medication, your provider will write you a prescription for one on the Statewide PDL. You’ll want to:

 

 

Need refills? Your medication label notes how many refills you have. A few days before you run out of medication, call your pharmacy to place a refill order. If the pharmacy doesn’t have any refills left and you need more medication, check with your provider. They may want to see you before prescribing refills.

Fill your prescriptions

 

In person

 

You can fill your prescriptions at any pharmacy at any Medicaid-enrolled pharmacy. To find a pharmacy near you, visit http://kyportal.medimpact.com.

By mail

 

If you take maintenance medications for an ongoing health condition, you can get them by mail. Members can go to any mail order pharmacy contracted with the state. Contact MedImpact to assist with this request at 1-800-210-7628 (TTY: 711). Members can also visit http://kyportal.medimpact.com

Specialty medications

Specialty medications

Members can now go to any Medicaid-enrolled specialty pharmacy. Contact MedImpact to assist with this request at 1-800-210-7628 (TTY:711). This is a 24-hour service desk. Members can also check with their member portal at http://kyportal.medimpact.com.  

Contact us

Questions? Just call Member Services at 1-855-300-5528 (TTY: 711).