Hoosier Healthwise Pharmacy Services
Select Your Package
Package A & B
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 for Package A & B
When you need medicine or over-the-counter items, your doctor will write a prescription. You can take that prescription to the pharmacy.
Copays for Package A & B
There are copays for your prescription medicine. You need to pay $3.00 to get a prescription filled at the pharmacy.
You do NOT have to pay pharmacy copay if:
1. It is family planning supplies (birth control).
2. It is medicine dispensed in an emergency room.
3. You are younger than 18 years of age.
4. You are pregnant.
5. You are inpatient in a hospital, nursing facility, intermediate care facility, or other medical institution.
Prescription Medicine for Package A & B
Hoosier Healthwise covers necessary medicines. Your doctor must prescribe these medicines. It must be a medicine approved by the Food and Drug Administration (FDA).
Hoosier Healthwise 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 Hoosier Healthwise.
MDwise Hoosier Healthwise members can call 1-800-457-4584, 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 also tells you some 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, choose option #2, to have a copy mailed to you.
Package C
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 for Package C
When you need medicine or over-the-counter items, your doctor will write a prescription. You can take that prescription to the pharmacy.
Copays for Package C
There are copays for your child’s prescription medicine. The copays will be $3.00 for each generic medication and $10.00 for each brand medication.
Prescription Medicine for Package C
Hoosier Healthwise covers necessary medicines. Your child’s doctor must prescribe these medicines. It must be a medicine approved by the Food and Drug Administration (FDA).
Hoosier Healthwise gives your child’s 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 Hoosier Healthwise. MDwise Hoosier Healthwise members can call 1-800-457-4584, 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 also tells you some 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, choose option #2, to have a copy mailed to you.
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For questions, please call us at 1.800.356.1204 or 317.630.2831 if you are in the Indianapolis area.
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