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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 http://kyportal.medimpact.com or call MedImpact at 1-800-210-7628 (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
GRP: KYPROD1
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:
1-858-357-2612.
Request forms
Please use the Kentucky Medicaid MCO Universal PA form (PDF).