Kentucky Spirit HealthPharmacy Program
Resources
Provider Manual
Billing Manual
Credentialing Materials
Forms
Manuals
Guides and Lists
Preferred Drug List
Pharmacy and Therapeutics MeetingsYou will need Adobe Reader to open PDFs on this site.
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Pharmacy:
Pharmacy Forms:
- Behavioral Health Discharge Form
- Caremark Specialty Pharmacy Services Enrollment Form
- Biopharmaceutical Prior Authorization Request Form
- US Script Medication Prior Authorization Request Form
- US Script Specialty Medication Prior Authorization Form
- US Script Suboxone/Subutex Opioid Detoxification Prior Authorization Request Form
- Lock-In Program Referral Form
Kentucky Pharmacy Network Listing: