Pharmacy
Sunflower Health Plan ensures you have the access to safe and effective medications as a KanCare (Kansas Medicaid) member. Learn more about our Kansas Medicaid pharmacy coverage below.
Sunflower is committed to providing drug therapy that is:
- Appropriate
- High quality
- Cost effective
Sunflower Health Plan covers prescription medications. Sunflower also covers certain over-the-counter medications with a written order from an approved provider. Sunflower's Kansas Medicaid pharmacy program does not cover all medications. Some require prior authorization. Some have limitations on the below.
- Age
- Dosage
- Maximum quantities
Find a Pharmacy
You can search for a pharmacy using our website tool. Click on the Find a Provider tool then you can then search for a pharmacy in your area.
90-Day Maintenance Refills
Beginning July 15, 2016, some maintenance drugs will now be filled every 90 days at your local Kansas Medicaid pharmacy instead of the previous 30-day supply. This includes 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 (PDF). 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.
Filling a Prescription
You can have your prescriptions filled at a network pharmacy.
Preferred Diabetic Testing Strips and Meters
Preferred Diabetic Supply | Item Description | Quantity Limit |
---|---|---|
True Metrix Air Kit | Glucose Blood Monitoring Kit (OTC) | N/A |
True Metrix Kit | Glucose Blood Monitoring Kit (OTC) | N/A |
True Metrix Self-Monitoring Blood Glucose Strips | Glucose Blood Test Strip (OTC) | Type I Diabetic 300-strips per 30-days Type II Diabetic 100-strips per 30-days |
True Metrix Blood Glucosetest Strips | Glucose Blood Test Strip (OTC) | Type I Diabetic 300-strips per 30-days Type II Diabetic 100-strips per 30-days |