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KMAP BULLETIN: Preferred Drug List Update

Date: 04/17/24

KMAP GENERAL BULLETIN 24071 (PDF)

There is a Preferred Drug List (PDL) update effective  April 1, 2024. Reference the Preferred Drug List page on the Kansas Department of Health and Environment (KDHE) website.

Effective on and after April 1, 2024, PDL Prior Authorization (PA) is required for the following medications:

  • Saxenda® (Liraglutide)
  • Wegovy® (Semaglutide)
  • Generic Tetracycline tablets
  • Generic Indomethacin Oral Suspension

Effective on and after April 1, 2024, the following medication is now PDL preferred:

  • Zepbound (Tirzepatide)

Note: The effective date of the policy is April 1, 2024. The implementation of State policy by the KanCare Managed Care Organizations (MCOs) may vary from the date noted in the Kansas Medical Assistance Program (KMAP) bulletins. The KanCare Open Claims Resolution Log on the KMAP Bulletins page documents the MCO system status for policy implementation and any associated reprocessing completion dates once the policy is implemented.