KRS 205.529: Synchronization of multiple prescriptions for treatment of a chronic

illness.

(1) The Department for Medicaid Services or a managed care organization contracted

to provide services pursuant to this chapter shall provide a program for

synchronization of medications when it is agreed among the member, a provider,

and a pharmacist that synchronization of multiple prescriptions for the treatment of

a chronic illness is in the best interest of the patient for the management or

treatment of a chronic illness provided that the medications:

(a) Are covered by the Department for Medicaid Services or a managed care

organization contracted to provide services pursuant to this chapter;

(b) Are used for treatment and management of chronic conditions that are subject

to refills;

(c) Are not a Schedule II controlled substance;

(d) Meet all prior authorization criteria specific to the medications at the time of

the synchronization request;

(e) Are of a formulation that can be effectively split over required s hort fill

periods to achieve synchronization; and

(f) Do not have quantity limits or dose optimization criteria or requirements that

would be violated in fulfilling synchronization.

(2) When applicable to permit synchronization, the Department for Medicaid Services

or a managed care organization contracted to provide services pursuant to this

chapter shall apply a prorated daily cost -sharing rate to any medication dispensed

by a network pharmacy pursuant to this section.

(3) Any dispensing fee shall not be prorated and shall be based on an individual

prescription filled or refilled.