Requiring all insurers, PBMs, and the Kentucky Employee Health Plan (KEHP) to verify pharmacy information and pay the correct dispensing fee for each prescription filled.
Expected to have a major economic impact, with total costs to the KEHP, health plans, and PBMs likely exceeding $500,000, though exact amount cannot yet be determined.
Comments should be submitted by Oct. 31, 2026.
On Sep. 14, KNY INS published notice of prescription dispensing fee.
KNY INS published Statement of Emergency on professional dispensing fee for prescription drug or other services.
For health plan years beginning on or after Jan. 1, 2027, insurers and PBMs must reimburse a Kentucky ambulatory pharmacy a professional dispensing fee of $16.31.
For each prescription drug or other service provided by the pharmacy or pharmacist delivered pursuant to a health plan.
Sep. 2026 LOU INS Proposes Pharmacy Dispensing Fee
Requiring all insurers, PBMs, and the Kentucky Employee Health Plan (KEHP) to verify pharmacy information and pay the correct dispensing fee for each prescription filled.
Expected to have a major economic impact, with total costs to the KEHP, health plans, and PBMs likely exceeding $500,000, though exact amount cannot yet be determined.
Comments should be submitted by Oct. 31, 2026.
Regulators
KNY INS
Entity Types
IB; Ins
Reference
RF, Nt, 9/14/2026; Citation: KNY INS 806-017-512E;
