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MedicaidAdministrativeMedium impact

Automatic Refill FAQs

Missouri Medicaid (MO HealthNet)·MO·Provider Notice
Effective date
Jul 7, 2023
We identified it
Jun 20, 2026
Days to comply

Summary

MO HealthNet has banned automatic refill programs for all participants, requiring pharmacies to obtain explicit requests from patients or responsible parties before refilling any medications. Medication synchronization programs are still allowed if patient contact occurs before refills.

Action Required

Action needed
Immediately: Review any MO HealthNet participants receiving medications through automatic refill programs. Ensure pharmacy partners understand they must obtain explicit patient requests before refilling prescriptions. Update patient communication procedures to confirm medication refill requests. Claims for automatically refilled medications without patient requests may be subject to administrative action.