Healthy Indiana Plan (HIP) Pharmacy Services
Medicines for MDwise members are covered. You can go to any pharmacy that accepts Indiana Medicaid. If you have pharmacy questions or problems, please call 1-800-457-4584 and choose option #2.
How the Prescription Benefit Works
When you need medicine, your doctor will write a prescription. You can take that prescription to the pharmacy.
There are no copays for your prescription medicine. Your medicines are paid for through your POWER Account.
Over the counter medicines or vitamins are not covered under HIP unless they are on the preferrred drug list (PDL). See below for more information about the PDL.
Prescription Medicine
The Healthy Indiana Plan covers necessary medicines. Your doctor must prescribe these medicines. It must be a medicine approved by the Food and Drug Administration (FDA).
The Healthy Indiana Plan gives your health care provider a tool called a preferred drug list.
This helps him or her prescribe drugs for you. A preferred drug list is a list of some of the brand and generic medicines covered by the Healthy Indiana Plan. MDwise Healthy Indiana Plan members can call 1-800-457-4584 and choose option #2 to ask about medicines that are covered.
If you have Internet access, you can go to www.indianamedicaid.com
or to www.indianapbm.com. This drug list will also show you any of the over-the-counter medicine and vitamins that are covered.
There is also the Indiana Medicaid Pharmacy Services Member Handbook.
It is available online at www.indianamedicaid.com under Pharmacy Services or you may call 1-800-457-4584, option #2, to have a copy mailed to you.
Need More Help?
If you need help, you can call MDwise Customer Service for help at 1.800.356.1204 (toll-free) or 317.630.2831 in the Indianapolis area. You can also visit www.mdwise.org/healthyindiana/ to find a list of pharmacies. Please click on “find a provider” and choose "Find a Dentist or Pharmacy."
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