Volume 40 - Issue 43 - October 28, 2021

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 HealthCare of St. Louis, Inc., and affiliates, CGLIC and CHLIC, hereby submits notice pursuant to Section 40-2,153 with respect to implementation of Cigna Healthcare of St. Louis, Inc., pharmacy network in Kansas. The name and address of the contact person for pharmacy network contracting is Julie Lesmes, Legal Complaince Lead Analyist, Routing B6LPA, 900 Cottage Grove Rd., Hartford, CT 06152. The pharmacy network serves Cigna HealthCare of St. Louis, Inc., service area in Kansas which is comprised of the following counties: Douglas, Franklin, Jackson, Jefferson, Johnson, Leavenworth, Miami, Osage, Shawnee, and Wyandotte. All but a small percentage of the individual participants of the benefit plan in the service area for which Cigna HealthCare of St. Louis, Inc., CGLIC or CHLIC administers pharmacy claim payments are participants of employee health benefit plan that are covered under the federal employee retirement security act (ERISA). In the third quarter of 2021, the following additions and deletions have taken effect.

Additions

Facility Name	Street Address	City	State
Infusion, LLC	1909 E. Central Ave.	Wichita	KS
Sunflower State Vital Care	6001 SW 6th Ave., Suite 110B	Topeka	KS

Deletions

Facility Name	Street Address	City	State
Cleland Pharmacy	202 S. 1st St.	WaKeeney	KS
Children’s Mercy West Pharmacy	4313 State Ave.	Kansas City	KS

Any questions should be directed to the Insurance Department at 785-296-7811.

Vicki Schmidt
Insurance Commissioner

Doc. No. 049524