Pharmacy Resources for HIP

Effective February 1, 2015: MedImpact will serve as the pharmacy benefit manager (PBM) and pharmacy claims processor for the MDwise Healthy Indiana Plan program.

MedImpact is responsible for:
  • Processing pharmacy and compound claims.
  • Maintaining the formulary.
  • Processing prior authorization requests.
  • Auditing pharmacy providers.
  • Managing specialty pharmacy claims.
 

Questions Concerning Prior Authorizations?

Pharmacists and prescribing providers should contact MedImpact with any questions concerning prior authorizations at 1-800-788-2949. Providers can fax the completed Medication Request Form to 858-790-7100. To find these forms go to our Pharmacy forms page.


Formulary and Pharmacy Search

A searchable formulary and participating pharmacies are available by selecting the links below for the various HIP plans.
 

Pharmacy Resources for HIP Plus members

Find a pharmacy for HIP Plus members
Find a drug for HIP Plus members
 

Pharmacy Resources for HIP Basic members

Find a pharmacy for HIP Basic members
Find a drug for HIP Basic members
 

Pharmacy Resources for HIP State Plan members

Find a pharmacy for HIP State Plan members
Find a drug for HIP State Plan members


Pharmacy Documents

Best Practices Generic Dispensing Rates
E-Prescribing and Formulary Searching
MDwise HIP Plus Printable Formulary
MDwise HIP Basic Printable Formulary
MDwise HIP State Printable Formulary
Pharmacy Prior Authorization Quick Reference Guide for Hoosier Healthwise, HIP and Hoosier Care Connect
Medicaid Pharmacy Prior Authorization Guidelines for Hoosier Healthwise and HIP