{"data":{"id":"us-ky/krs-205.529","jurisdiction":"us-ky","citation":"KRS 205.529","heading":"Synchronization of multiple prescriptions for treatment of a chronic","body":"illness.\n(1) The Department for Medicaid Services or a managed care organization contracted\nto provide services pursuant to this chapter shall provide a program for\nsynchronization of medications when it is agreed among the member, a provider,\nand a pharmacist that synchronization of multiple prescriptions for the treatment of\na chronic illness is in the best interest of the patient for the management or\ntreatment of a chronic illness provided that the medications:\n(a) Are covered by the Department for Medicaid Services or a managed care\norganization contracted to provide services pursuant to this chapter;\n(b) Are used for treatment and management of chronic conditions that are subject\nto refills;\n(c) Are not a Schedule II controlled substance;\n(d) Meet all prior authorization criteria specific to the medications at the time of\nthe synchronization request;\n(e) Are of a formulation that can be effectively split over required s hort fill\nperiods to achieve synchronization; and\n(f) Do not have quantity limits or dose optimization criteria or requirements that\nwould be violated in fulfilling synchronization.\n(2) When applicable to permit synchronization, the Department for Medicaid  Services\nor a managed care organization contracted to provide services pursuant to this\nchapter shall apply a prorated daily cost -sharing rate to any medication dispensed\nby a network pharmacy pursuant to this section.\n(3) Any dispensing fee shall not be prorated and shall be based on an individual\nprescription filled or refilled.","path":["KRS Chapter 205"],"source_url":"https://apps.legislature.ky.gov/law/statutes/statute.aspx?id=57300","current_through":"Includes enactments through the 2026 Regular Session","vintage":"09/05/2026","retrieved_at":"2026-09-05T20:52:03Z","sha256":"303ee9ba2181275f93c9d44c08ac0a8e80fdc095f5370356bcaea651057a3753","source_id":"us-ky","stale":false,"prev":"us-ky/krs-205.528","next":"us-ky/krs-205.530"},"notice":"GroundRules: Original legal text. Not legal advice."}
