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Pharmacy prior authorization (PA)

For Pharmacy prior authorizations, please visit The Commonwealth of Kentucky’s single pharmacy benefits manager, MedImpact.

Visit MedImpact’s website at or call MedImpact at 1-800-210-7628 (TTY: 711).

Pharmacy PA guidelines

Learn more

You can check your provider manual (PDF).
Or call us at 1-855-300-5528 (TTY: 711).

Electronic PA (ePA)

Electronic PA (ePA)

You need the right tools and technology to help our members. That’s why MedImpact has partnered with CoverMyMeds® , Surescripts and  CenterX ePA portals.  For all medically billed drug (Jcode) PA requests, please continue to send those directly to the member’s plan for review. 

Enroll now

Getting started with ePA is free and easy. You’ll need this info to enroll:


  • BIN: 023880


  • PCN: KYM01 


You can enroll three different ways:

Other ways to request PA


If you don’t want to enroll in ePA, you can request PA:

By phone

You can request PA by calling MedImpact's Clinical Call Center 1-844-336-2676.

By fax

Please forward fax PA requests to MedImpact's Clinical Call Center fax:

Also of interest: