MedicaidPrior AuthMedium impact
KMAP BULLETIN: Preferred Drug List Update April 2025
Kansas Medicaid (KanCare)·KS·Pharmacy
Effective date
Apr 1, 2025
We identified it
Jun 21, 2026
Summary
Kansas Medicaid (KMAP) is updating their Preferred Drug List effective April 1, 2025. Four medications will become non-preferred requiring prior authorization, thirteen medications will become preferred, and three discontinued medications will be removed from the list.
Action Required
Before April 1, 2025: Billing team must update prior authorization tracking system to require PDL prior authorization for Alyftrek, Clobetasol Propionate topical 0.025%, Metaxolone 640mg, and Metformin 750mg for Kansas Medicaid patients. Remove Nucynta, Nucynta ER, and Xtampza ER from formulary lists as they are discontinued. Notify providers that thirteen medications are now preferred and should not require prior authorization. Monitor KanCare MCO implementation dates as they may vary from April 1st.