Pharmacy
Package A & B
Medicines for MDwise Hoosier Healthwise members are covered. You can go to any pharmacy that accepts Indiana Medicaid. If you have pharmacy questions or problems, please call 1-800-356-1204. You can find a list of all available pharmacies on our Find A Pharmacy directory.
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 any MDwise participating pharmacy.
Copays for Package A & B
You will need to pay a $0.00 for a generic prescription, or $0.00 for a brand prescription when filled at and participating MDwise pharmacy.
You do NOT have to pay pharmacy copay if:
- It is family planning supplies (birth control).
- It is medicine dispensed in an emergency room.
- You are younger than 18 years of age.
- You are pregnant.
- 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 formulary.
This helps him or her prescribe drugs for you. A formulary is a list of some of the brand and generic medicines covered by MDwise Hoosier Healthwise.
MDwise Hoosier Healthwise members can call 1-844-336-2677 to ask about medicines that are covered. If you have Internet access, you can go to the Find a Drug page. This drug list also tells you some of the over-the-counter medicine and vitamins that are covered.
Package C
Medicines for MDwise Hoosier Healthwise members are covered. You can go to any MDwise participating pharmacy. If you have pharmacy questions or problems, please call 1-800-356-1204. You can find a list of all available pharmacies on our Find A Pharmacy directory.
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 formulary.
This helps him or her prescribe drugs for you. A formulary is a list of some of the brand and generic medicines covered by Hoosier Healthwise. MDwise Hoosier Healthwise members can call 1-844-336-2677 to ask about medicines that are covered.
If you have Internet access, you can go to the Find a Drug page. This drug list also tells you some of the over-the-counter medicine and vitamins that are covered.
*HHW Package C pharmacy copays may be lower for some T2 single source brand medications.
Icon |
Status |
Definition |
HHW Plan A&B Copay |
HHW Plan C Copay |
 |
Tier 1 |
Generic Drugs |
$0 |
$3 |
 |
Tier 2 |
Brand Drugs |
$0 |
$10* |
 |
Tier 3 |
Essential Health Benefit Drugs |
$0 |
$0 |
 |
Non-Formulary |
Non-Formulary |
Not covered under pharmacy benefit (coverage MAY be available under the medical benefit). |
Not covered under pharmacy benefit (coverage MAY be available under the medical benefit). |