Provider must submit all claims electronically through the claims adjudication system to receive the adjudicated response.

SilverScript may add or remove drugs from our formulary during the year. If we remove drugs from our formulary, or add prior authorization, quantity limits and/or step therapy restrictions on a drug and/or move a drug to a higher cost-sharing tier, we will notify you of the change at least sixty (60) days before the date the change becomes effective.

In accordance with Kentucky MAC law (Ky.Rev.Stat.Ann. §304.17A-162), the following is a list of products for which CVS Caremark® MAC adjustments have been made with retroactive effective dates as a result of granted MAC appeals.

Kentucky MAC Notification – Granted MAC Appeals

Please find the enclosed Network Enrollment Form, effective January 1, 2019, for the following network: