alert

FSSA/OMPP wants to make Medicaid better for members and they need your help. Apply to join Indiana Medicaid’s NEW Beneficiary Advisory Council (BAC) to share your experience. The BAC, composed of current and former Medicaid members and caretakers, will discuss policy and program changes. To apply, complete the BAC application and submit it via email or mail. Additionally, here is the website link for the FSSA BAC page: https://www.in.gov/fssa/ompp/advisory-committees/beneficiary-advisory-council

Results 1 - 10 of 330

  • ABEMACICLIB (VERZENIO)

    ABEMACICLIB
    Generic Brand HICL GCN Exception/Other

    ABEMACICLIB

    VERZENIO

    44537

     

     

  • ABIRATERONE (ZYTIGA)

    Generic Brand HICL GCN Exception/Other

    ABIRATERONE ACETATE

    ZYTIGA

    37571

     

     

  • ABIRATERONE SUBMICRONIZED

    Generic Brand HICL GCN Exception/Other

    ABIRATERONE
    SUBMICRONIZED

    YONSA

    44946

     

    ROUTE = ORAL

  • ABROCITINIB (CIBINQO)

    Generic Brand HICL GCN Exception/Other

    ABROCITINIB

    CIBINQO

    47767

     

     

  • ACALABRUTINIB (CALQUENCE)

    Generic

    Brand

    HICL

    GCN

    Exception/Other

    ACALABRUTINIB

    CALQUENCE

    44607

     

     

    ACALABRUTINIB MALEATE

    CALQUENCE

    48182

     

     

  • ACORAMIDIS (ATTRUBY)

    Generic Brand HICL GCN Exception/Other

    ACORAMIDIS

    ATTRUBY

    50022

     

     

  • ADAGRASIB

    Generic Brand HICL GCN Exception/Other

    ADAGRASIB

    KRAZATI

    48522

     

     

  • AFATINIB

    Generic Brand HICL GCN Exception/Other

    AFATINIB
    DIMALEATE

    GILOTRIF

    40478

     

     

  • ALECTINIB

    Generic Brand HICL GCN Exception/Other

    ALECTINIB

    ALECENSA

    42895

     

     

    This drug requires a written request for prior authorization.

  • ALISKIREN FUMARATE (TEKTURNA)

    Generic Brand HICL GCN Exception/Other

    ALISKIREN FUMARATE

    TEKTURNA

    34493