Volume 43 - Issue 3 - January 18, 2024

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.

Humana Pharmacy Solution, Inc. has notified the Department of the following additions and deletions to the pharmacy network during the fourth quarter of 2023.

Additions

Facility Name	Street Address	City	State
Westside Pharmacy	118 W. 9th Ave.	Winfield	KS
First Care Pharmacy	1301 Main St.	Hays	KS
Dedicated Senior Medical Center – Glendale	961 S. Glendale St.	Wichita	KS
Cardinal Drugstore	103 E. Main St.	Chanute	KS
Graves Drugs	905 Main St.	Winfield	KS

Deletions

Facility Name	Street Address	City	State
Graves Drug Store Emporia, Inc.	609 Commercial St.	Emporia	KS
Walgreens #10721	119 W. 6th Ave.	El Dorado	KS
Ashcraft Pharmacy	503 N. Main St.	South Hutchinson	KS
Hutchinson Clinic, PA	2101 N. Waldron St.	Hutchinson	KS
Herington Hospital Pharmacy	1005 N. B St.	Herington	KS

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 Michael Trottier, Legal Compliance Lead Analyst, Routing B6LPA, 900 Cottage Grove Rd., Hartford, CT 06152. In the fourth quarter of 2023, the following additions and terminations have taken effect.

Additions

Cigna National 0100 and 0400

Facility Name	Street Address	City	State
Dunne’s Pharmacy – LTC	2429 Claflin Rd.	Manhattan	KS
Barry’s LTC Drug Center	414 Poyntz Ave.	Manhattan	KS
First Care Pharmacy	1301 Main St.	Hays	KS
Ashcraft Pharmacy	503 N. Main St.	South Hutchinson	KS
Lakin Drug – LTC	610 Oloughlin St.	Lakin	KS
Dedicated Senior – Glendale	961 S. Glendale St.	Wichita	KS
Graves Drugs Winfield	905 Main St.	Winfield	KS

National Plus 2.0 Version 3

Facility Name	Street Address	City	State
S and S Drug	110 S. Mill St.	Beloit	KS
Kingman Drug	211 N. Main St.	Kingman	KS
Dunne’s Pharmacy – LTC	2429 Claflin Rd.	Manhattan	KS
Barry’s LTC Drug Center	414 Poyntz Ave.	Manhattan	KS
First Care Pharmacy	1301 Main St.	Hays	KS
Ashcraft Pharmacy	503 N. Main St.	South Hutchinson	KS
Lakin Drug – LTC	610 Oloughlin St.	Lakin	KS
Dedicated Senion – Glendale	961 S. Glendale St.	Wichita	KS
Graves Drugs	905 Main St.	Winfield	KS

Deletions

Cigna CVS 90 Now, Cigna National 0100 and 0400, Cigna Walgreens Advantage, Cigna Walgreens Savings

Facility Name	Street Address	City	State
Winfield Pharmacy	1708 E. 9th Ave.	Winfield	KS
Kellstrom Pharmacy	1860 Claflin Rd.	Manhattan	KS
Kellstrom Pharmacy – LTC	1862 Claflin Rd.	Manhattan	KS
Walgreens #10721	119 W. 6th Ave.	El Dorado	KS
AcariaHealth Pharmacy, Inc.	10409 W. 84th Terr.	Lenexa	KS
Ashcraft Pharmacy	503 N. Main St.	South Hutchinson	KS
D C Drug	101 N. Main St.	Troy	KS

Cigna CVS Savings

Facility Name	Street Address	City	State
Winfield Pharmacy	1708 E. 9th Ave.	Winfield	KS
Kellstrom Pharmacy	1860 Claflin Rd.	Manhattan	KS
Kellstrom Pharmacy – LTC	1862 Claflin Rd.	Manhattan	KS
AcariaHealth Pharmacy, Inc.	10409 W. 84th Terr.	Lenexa	KS
Ashcraft Pharmacy	503 N. Main St.	South Hutchinson	KS
D C Drug	101 N. Main St.	Troy	KS

National Plus 2.0 Version

Facility Name	Street Address	City	State
Kellstrom Pharmacy	1860 Claflin Rd.	Manhattan	KS
Kellstrom Pharmacy – LTC	1862 Claflin Rd.	Manhattan	KS
Walgreens #10721	119 W. 6th Ave.	El Dorado	KS
AcariaHealth Pharmacy, Inc.	10409 W. 84th Terr.	Lenexa	KS

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

Vicki Schmidt
Insurance Commissioner

Doc. No. 051788