Indiana Care Select Pharmacy Benefits
The pharmacy benefit for Care Select members in the MDwise plan includes those drug products that are listed on:
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Indiana Health Coverage Programs' (IHCP) Preferred Drug List (PDL)
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Over-the-Counter (OTC) Drug Formulary
The PDL is not intended to show all drugs covered by the IHCP
Some drug classes are purposefully not shown on the PDL and most drugs in those classes are covered by the IHCP and do not require prior authorization. Legend drug products that are listed as non-preferred in the IHCP PDL require prior authorization.
The IHCP PDL and OTC Drug Formulary can be found on the IHCP's website, http://provider.indianamedicaid.com/provider-specific-information/pharmacy-services.aspx
and also at www.indianapbm.com.
Questions Concerning the PDL or Prior Authorizations?
Pharmacists and prescribing providers should contact the ACS Clinical Call Center with any questions concerning the PDL and prior authorizations at 1.866.879.0106.
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