Get the free Kentucky Spirit Health Plan PROVIDER Preferred Drug List

Este documento proporciona información sobre la lista de medicamentos preferidos del Plan de Salud Kentucky Spirit, que cubre medicamentos recetados y algunos medicamentos de venta libre según las

How to fill out kentucky spirit health plan

How to fill out Kentucky Spirit Health Plan PROVIDER Preferred Drug List

1. Visit the Kentucky Spirit Health Plan website or contact their provider services.
2. Access the current version of the Preferred Drug List (PDL).
3. Identify the sections relevant to the specific medication classes.
4. Review the medications listed to determine which are preferred and non-preferred.
5. Complete all necessary sections in the patient’s prescription documentation referencing the PDL.
6. Submit the documentation following your practice's prescription process.

Who needs Kentucky Spirit Health Plan PROVIDER Preferred Drug List?

1. Healthcare providers prescribing medications for members of the Kentucky Spirit Health Plan.
2. Patients who are enrolled in the Kentucky Spirit Health Plan to understand covered medications.
3. Pharmacists filling prescriptions for Kentucky Spirit Health Plan members.

People Also Ask about

Is a list of drugs approved by an insurance company?

Health plan formularies are typically created by a committee set up by the plan's health insurance company. The formulary committee would likely include pharmacists and doctors from various medical areas. This committee would then choose which prescription drugs to include on the health plan formulary.

What is a preferred drug?

Preferred Drug Lists Within this system, preferred drugs are brand-name medications that are periodically reviewed and updated by the Pharmacy and Therapeutics Working Group in order to ensure the highest level of clinical efficacy and cost effectiveness.

What is considered a preferred drug?

Preferred Brand-Name Drugs These are drugs for which generic equivalents are not available. They have been in the market for a time and are widely accepted. Express Scripts has arranged a significant discount on these drugs. They cost more than generics, but less than nonpreferred brand-name drugs.

What is a preferred name drug?

Preferred Brand-Name Drugs These are drugs for which generic equivalents are not available. They have been in the market for a time and are widely accepted.

What are the preferred drug tiers?

Tier 1: Least expensive drug options, often generic drugs. Tier 2: Higher-price generic and lower-price brand-name drugs. Tier 3: Mainly higher-price brand-name drugs. Tier 4: Highest-cost prescription drugs.

Does KY Medicaid cover prescriptions?

Your drug benefit is provided by MedImpact and Kentucky Medicaid. Humana Healthy Horizons® in Kentucky works with a pharmacy benefit manager (PBM), MedImpact Healthcare Systems, Inc., that serves all enrollees in managed care. To reach MedImpact's enrollee services team 24 hours a day, 7 days a week, call 800-210-7628.

What is the difference between preferred and standard drugs?

One way you may be able to save money is by using a preferred pharmacy instead of a standard pharmacy. A preferred pharmacy is in your network and saves you money on your copays. A standard pharmacy is also in your network but has slightly higher copays.

For pdfFiller’s FAQs

What is Kentucky Spirit Health Plan PROVIDER Preferred Drug List?

The Kentucky Spirit Health Plan PROVIDER Preferred Drug List is a list of medications that are preferred by Kentucky Spirit Health Plan for treatment, which may help in managing costs and ensuring better patient outcomes.

Who is required to file Kentucky Spirit Health Plan PROVIDER Preferred Drug List?

Providers and pharmacies participating in the Kentucky Spirit Health Plan network are required to adhere to and file the Kentucky Spirit Health Plan PROVIDER Preferred Drug List when prescribing or dispensing medications.

How to fill out Kentucky Spirit Health Plan PROVIDER Preferred Drug List?

To fill out the Kentucky Spirit Health Plan PROVIDER Preferred Drug List, healthcare providers need to accurately list the medications prescribed according to the preferred drug guidelines set by the health plan and submit it as per the plan's filing procedures.

What is the purpose of Kentucky Spirit Health Plan PROVIDER Preferred Drug List?

The purpose of the Kentucky Spirit Health Plan PROVIDER Preferred Drug List is to guide prescribing practices, control medication costs, ensure the use of effective medications, and ultimately improve the quality of care for members.

What information must be reported on Kentucky Spirit Health Plan PROVIDER Preferred Drug List?

The Kentucky Spirit Health Plan PROVIDER Preferred Drug List must report information such as the drug name, dosage forms, therapeutic categories, and any specific prescribing notes or restrictions related to the listed medications.