Preferred Drug List (PDL) – List of pre-approved drugs by the State
Kansas Medicaid Prior (Rx) Authorization Form
A Kansas Medicaid prior authorization form is used by a healthcare provider to request Medicaid coverage for a prescribed medication that is not on the preferred drug list (PDL). This is only necessary when the patient is a Medicaid member. The provider must explain why a non-preferred medication would be a better treatment for the patient.
Updated November 12, 2024
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