MedicaidCoverageMedium impact
Pharmacy Early Refill
Missouri Medicaid (MO HealthNet)·MO·Pharmacy
Effective date
Feb 18, 2021
We identified it
Jun 20, 2026
Summary
MO HealthNet (Missouri Medicaid) changed the early refill policy for all medications to 85% for both controlled and non-controlled substances, effective February 18, 2021. Providers can contact the Pharmacy Help Desk for override requests when medically necessary.
Action Required
Immediately: Update patient communication protocols to inform Missouri Medicaid patients that prescription refills are only available when 85% of previous medication is used. Train front desk staff to direct override requests to providers who should call Pharmacy Help Desk at (800) 392-8030 option 3. Update pharmacy coordination procedures for early refill denials.