Pharmacy

Sunflower Health Plan is committed to providing drug therapy that is:

  • Appropriate
  • High quality
  • Cost effective

Sunflower Health Plan covers prescription medications. Sunflower Health Plan also covers certain over-the-counter medications with a written order from a Sunflower Health Plan provider. The pharmacy program does not cover all medications. Some require prior authorization. Some have limitations on the below.

  • Age
  • Dosage
  • Maximum quantities
 

90 Day Maintanence Refills

Beginning July 15, 2016 some maintenance drugs will now be filled every 90 days at your local pharmacy instead of the previous 30 day supply. This will include long-term medications for conditions such as:

  • High blood pressure
  • Cholesterol
  • Heart disease
  • And more

Visit the KanCare website to find out if your medication is on the 90 day list. If your medication is on this list, it must be filled as a 90 day supply after July 15, 2016. 

*Members with long term care, foster care, dual, unmet spenddown eligibility or adherence packaging will not be required to fill every 90 days. 

Preferred Drug List

The KanCare Preferred Drug List (PDL) is the list of covered drugs. The Kansas Medical Assistance Program (KMAP) works with providers and pharmacists to ensure that medications used to treat a variety of conditions and diseases are covered. The PDL applies to drugs you receive at retail pharmacies. It also applies to mail-order pharmacies. The KanCare PDL is continually evaluated by the Kansas Preferred Drug List Advisory Committee, composed of practicing physicians and pharmacists, to promote the appropriate and cost-effective use of medications.

Only drugs that are part of the listed therapeutic classes are affected by the Preferred Drug List (PDL). Therapeutic classes not listed are not part of the PDL and will continue to be covered as they always have for the Kansas Medical Assistance Pharmacy Program.

KanCare Preferred Drug List (PDL)

Filling a Prescription

You can have your prescriptions filled at a network pharmacy.