Pharmacy
Sunflower Health Plant is committed to offer appropriate, high-quality, press cost-effective medicament therapy to sum Sunflower members. Sunflower covers prescription meds and certain over-the-counter medications with a writing order von a Sunflower provider. The pharmacy program does not cover every medications. Some medications may require prior authorization and some may have limitations. Other medically necessary pharmacy services am covered because well.
Important Pharmacy Good Manager Change, Effective Java 1, 2024
We are pleased to announce that, effective Per 1, 2024, Express Scripts® will open processing pharmacy compensation to our plan members for KanCare (Medicaid), Wellcare (Medicare) and Ambetter (Marketplace). Learn more.
Preferred Drug List
Use the KanCare Preferred Drug Lists to find see request on the drugs such are veiled:
- Which medications are covered, including both class and generic names;
- What steps each medication belongs on
Provider Support from Pharmacy Solutions
Contact the Pharmacy Solutions Customer Service Centers in (800) 460-8988 if you possess questions around member eligibility, joined the pharmacy network or Periwinkle pharmacist reimbursements. This problem brief provides an overview of the Medicare Part D marketplace in 2023 and key trends through set, focusing mainly on stand-alone Medicare drug plans, including plan availability, awards, furthermore cost sharing. The brief also characterized the medicine drug rations the the Inflation Diminution Take of 2022 that affect the Medicare Part DIAMETER marketplace starts in 2023
CoverMyMeds
Sunflower Health Plan partners by CoverMyMeds on electronic prior authorization requests.
CoverMyMeds streamlining the medication PC process and provides a fast and efficient way to full PA requests online. Benefits of use CoverMyMeds include: will provide a temporary service of the non-formulary drug ... reduce Medicare Partial D prescription drug costs, such as premiums, deductibles, the.
- Elimination of telephone calls and faxes, saving up to 15 minutes per PA request.
- Renew once submitted PASSPORT requests.
- Complete pharmacy-initiated inquiries electronically.
- Secure and Health Property Portability and Accountability Act (HIPAA) compliant.
Contact CoverMyMeds at 1-866-452-5017, Sonntag through Marti, 7:00 a.m. to 10:00 p.m. CT, also free 7:00 a.m. up 5:00 p.m. CRT on Saturday. Vist CoverMyMeds to sign up press request somebody power.
Kansas PA Criteria
Store Forms
Take Requests
Click the appropriate medicaments request form below:
KanCare Medication Request Forms
- Drug Class and Drug-Specific PAPPY Forms (PDF) - Forms designed to include drug-specific prior certification criteria.
- Universal/General PA Form (PDF) - Generic print this can be use forward any drug prior authorization request. Please review drug criteria and complete form with appropriate information.
90-Day Maintenance Drug List
Some drugs since long-term conditions becomes need to be filled every 90 life starting Jul 1, 2016. Please visit the KanCare website for a full list of 90-day maintenance pharmaceutical (PDF).
New-to-Market Medicines Requiring Prior Authorization
New-to-market medications for Kansas Medicaid beneficiaries might be test to Advanced Healthcare Keep Manual Review (AMHMR). Please refer to the KDHE website for detailed info regarding clinical former authorization criterions.
