Volume 42 - Issue 29 - July 20, 2023
State of Kansas
Insurance Department
Notice of Changes in Pharmacy Networks
Pursuant to K.S.A. 40-2,153, the Commissioner of Insurance is publishing notice that a change has occurred in a pharmacy network in the State of Kansas.
Cigna Health and Life Insurance Company, and its affiliates, Cigna HealthCare of St. Louis, Inc., and CGLIC, hereby submit notice pursuant to Section 40-2,153 and KID Bulletin 1997-2 with respect to updates made to pharmacy networks in Kansas. The name and address of the contact person for questions regarding these updates is Julie Lesmes, Legal Compliance Lead Analyst, Routing B6LPA, 900 Cottage Grove Rd., Hartford, CT 06152. In the second quarter of 2023, the following additions and terminations have taken effect:
Additions
Cigna CVS 90 Now
| Facility Name | Street Address | City | State |
|---|---|---|---|
| Minneola Pharmacy II | 131 S. Main St. | Minneola | KS |
| Gracemed Capitol Pharmacy | 1400 SW Huntoon St. | Topeka | KS |
| Gracemed Ablah Pharmacy | 3417 S. Meridian Ave. | Wichita | KS |
| Arthritis and Rheumatology Clinic | 1921 N. Webb Rd. | Wichita | KS |
CVS Savings
| Facility Name | Street Address | City | State |
|---|---|---|---|
| Minneola Pharmacy II | 131 S. Main St. | Minneola | KS |
| Gracemed Capitol Pharmacy | 1400 SW Huntoon St. | Topeka | KS |
| Gracemed Ablah Pharmacy | 3417 S. Meridian Ave. | Wichita | KS |
| Arthritis and Rheumatology Clinic | 1921 N. Webb Rd. | Wichita | KS |
Cigna 0100 and Cigna 0400
| Facility Name | Street Address | City | State |
|---|---|---|---|
| Minneola Pharmacy II | 131 S. Main St. | Minneola | KS |
| Gracemed Capitol Pharmacy | 1400 SW Huntoon St. | Topeka | KS |
| Gracemed Ablah Pharmacy | 3417 S. Meridian Ave. | Wichita | KS |
| Arthritis and Rheumatology Clinic | 1921 N. Webb Rd. | Wichita | KS |
Cigna Walgreens Advantage
| Facility Name | Street Address | City | State |
|---|---|---|---|
| Minneola Pharmacy II | 131 S. Main St. | Minneola | KS |
| Gracemed Capitol Pharmacy | 1400 SW Huntoon St. | Topeka | KS |
| Gracemed Ablah Pharmacy | 3417 S. Meridian Ave. | Wichita | KS |
| Arthritis and Rheumatology Clinic | 1921 N. Webb Rd. | Wichita | KS |
Cigna Walgreens Savings
| Facility Name | Street Address | City | State |
|---|---|---|---|
| Minneola Pharmacy II | 131 S. Main St. | Minneola | KS |
| Gracemed Capitol Pharmacy | 1400 SW Huntoon St. | Topeka | KS |
| Gracemed Ablah Pharmacy | 3417 S. Meridian Ave. | Wichita | KS |
| Arthritis and Rheumatology Clinic | 1921 N. Webb Rd. | Wichita | KS |
National Plus 2.0 Version 3
| Facility Name | Street Address | City | State |
|---|---|---|---|
| C R Clinic Pharmacy | 411 Sunset St. | Elkhart | KS |
| Minneola Pharmacy II | 131 S. Main St. | Minneola | KS |
Deletions
Cigna CVS 90 Now
| Facility Name | Street Address | City | State |
|---|---|---|---|
| Leavenworth Pharmacy | 550 Pope Ave. | Ft. Leavenworth | KS |
| Riley Main Pharmacy | 600 Caisson Hill Rd. | Ft. Riley | KS |
| Wal-Mart #5180 | 10303 Metcalf Ave. | Overland Park | KS |
| FW Huston Pharmacy of Meriden | 8023 K-4 Hwy. | Meriden | KS |
| Overland Park Pharmacy | 7940 W. 151st St. | Overland Park | KS |
| Associated Urologists PA | 1133 College Ave. | Manhattan | KS |
| Graves Drug | 212 S. Summit St. | Arkansas City | KS |
Cigna CVS Savings
| Facility Name | Street Address | City | State |
|---|---|---|---|
| Leavenworth Pharmacy | 550 Pope Ave. | Ft. Leavenworth | KS |
| Riley Main Pharmacy | 600 Caisson Hill Rd. | Ft. Riley | KS |
| Wal-Mart #5180 | 10303 Metcalf Ave. | Overland Park | KS |
| FW Huston Pharmacy of Meriden | 8023 K-4 Hwy. | Meriden | KS |
| Overland Park Pharmacy | 7940 W. 151st St. | Overland Park | KS |
| Associated Urologists PA | 1133 College Ave. | Manhattan | KS |
| Graves Drug | 212 S. Summit St. | Arkansas City | KS |
Cigna National 0100 and 0400
| Facility Name | Street Address | City | State |
|---|---|---|---|
| Leavenworth Pharmacy | 550 Pope Ave. | Ft. Leavenworth | KS |
| Riley Main Pharmacy | 600 Caisson Hill Rd. | Ft. Riley | KS |
| Wal-Mart #5180 | 10303 Metcalf Ave. | Overland Park | KS |
| FW Huston Pharmacy of Meriden | 8023 K-4 Hwy. | Meriden | KS |
| Overland Park Pharmacy | 7940 W. 151st St. | Overland Park | KS |
| Associated Urologists PA | 1133 College Ave. | Manhattan | KS |
| Graves Drug | 212 S. Summit St. | Arkansas City | KS |
Cigna Walgreens Advantage
| Facility Name | Street Address | City | State |
|---|---|---|---|
| Leavenworth Pharmacy | 550 Pope Ave. | Ft. Leavenworth | KS |
| Riley Main Pharmacy | 600 Caisson Hill Rd. | Ft. Riley | KS |
| Wal-Mart #5180 | 10303 Metcalf Ave. | Overland Park | KS |
| FW Huston Pharmacy of Meriden | 8023 K-4 Hwy. | Meriden | KS |
| Overland Park Pharmacy | 7940 W. 151st St. | Overland Park | KS |
| Associated Urologists PA | 1133 College Ave. | Manhattan | KS |
| Graves Drug | 212 S. Summit St. | Arkansas City | KS |
Cigna Walgreens Savings
| Facility Name | Street Address | City | State |
|---|---|---|---|
| Leavenworth Pharmacy | 550 Pope Ave. | Ft. Leavenworth | KS |
| Riley Main Pharmacy | 600 Caisson Hill Rd. | Ft. Riley | KS |
| Wal-Mart #5180 | 10303 Metcalf Ave. | Overland Park | KS |
| FW Huston Pharmacy of Meriden | 8023 K-4 Hwy. | Meriden | KS |
| Overland Park Pharmacy | 7940 W. 151st St. | Overland Park | KS |
| Associated Urologists PA | 1133 College Ave. | Manhattan | KS |
| Graves Drug | 212 S. Summit St. | Arkansas City | KS |
Cigna Walgreens Savings
| Facility Name | Street Address | City | State |
|---|---|---|---|
| Leavenworth Pharmacy | 550 Pope Ave. | Ft. Leavenworth | KS |
| Riley Main Pharmacy | 600 Caisson Hill Rd. | Ft. Riley | KS |
| Wal-Mart #5180 | 10303 Metcalf Ave. | Overland Park | KS |
| FW Huston Pharmacy of Meriden | 8023 K-4 Hwy. | Meriden | KS |
| Overland Park Pharmacy | 7940 W. 151st St. | Overland Park | KS |
| Associated Urologists PA | 1133 College Ave. | Manhattan | KS |
| Graves Drug | 212 S. Summit St. | Arkansas City | KS |
National Plus 2.0 Version 3
| Facility Name | Street Address | City | State |
|---|---|---|---|
| Leavenworth Pharmacy | 550 Pope Ave. | Ft. Leavenworth | KS |
| Riley Main Pharmacy | 600 Caisson Hill Rd. | Ft. Riley | KS |
| Wal-Mart #5180 | 10303 Metcalf Ave. | Overland Park | KS |
| FW Huston Pharmacy of Meriden | 8023 K-4 Hwy. | Meriden | KS |
| Overland Park Pharmacy | 7940 W. 151st St. | Overland Park | KS |
| Associated Urologists PA | 1133 College Ave. | Manhattan | KS |
| Graves Drug | 212 S. Summit St. | Arkansas City | KS |
Humana Pharmacy Solution, Inc. has notified the Department of the following additions and deletions to the pharmacy network during the second quarter of 2023:
Additions
| Facility Name | Street Address | City | State |
|---|---|---|---|
| Bowen Pharmacy LTC | 1519 Main St. | Parsons | KS |
| Palace Drug Store | 460 N. Franklin | Colby | KS |
| Lindburg Pharmacy | 909 E. Centennial Dr. | Pittsburg | KS |
| The Mulvane Pharmacy | 1008 SE Louis Dr. | Mulvane | KS |
Deletions
| Facility Name | Street Address | City | State |
|---|---|---|---|
| Walmart Pharmacy 10-5180 105180 | 10303 Metcalf Ave. | Overland Park | KS |
| Hunters Ridge Pharmacy | 3405 NW Hunters Ridge Terr., Suite 200 | Topeka | KS |
| Centerwell Pharmacy, Inc. 05033 | 16575 W. 119th St. | Olathe | KS |
| FHC Pharmacy Rosedale | 340 Southwest Blvd. | Kansas City | KS |
Any questions should be directed to the Insurance Department at 785-296-7811.
Vicki Schmidt
Insurance Commissioner
Doc. No. 051324
