Pharmacy - Healthy Indiana Plan
Lookup drug-drug interactions or side effects:
Drug Interaction Checker
Drug Side Effects
Medicines for MDwise HIP members are covered. You can go to any pharmacy within the MDwise pharmacy network. If you have pharmacy questions or problems, please call 1-844-336-2677.
How the Prescription Benefit Works
When you need medicine or over-the-counter items, your doctor will write a prescription. You can take that prescription to the network pharmacy of your choice. You may search pharmacies by selecting the find a pharmacy/price check link below for your plan. If languages spoken at participating pharmacies is needed, select MDwise Medicaid Pharmacy Directory | PDF to view pharmacy location information including languages spoken by pharmacy staff.
HIP Plus members have no copays for covered drugs. HIP Basic and HIP State Plan Basic members have copays for covered drugs up to $8. There is no copay for family planning and maternity services. You may look at the list of covered drugs and their copay by selecting the find a drug link below for your plan.
Some over-the-counter medicines or vitamins are covered under HIP. To see which ones are covered select the find a drug link below for your plan.
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HIP Plans
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Preventative Drugs
(Essential Health Benefit)
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Preferred Drugs (PDL)
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Non-Preferred Drugs (PDL)
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Neutral Generic Drugs
(non-PDL)
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Neutral Brand Drugs
(non-PDL)
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HIP Plus Copay
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$0
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$0
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$0
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$0
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$0
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HIP Basic Copay
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$0
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$4
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$8
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$4
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$8
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HIP State Plan Basic Copay
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$0
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$4
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$8
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$4
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$8
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*Members are required to pay applicable copayments at the pharmacy when services are provided.
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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 doctor a tool called a formulary. This helps him or her prescribe drugs for you. A formulary is a list of the brand and generic medicines covered by the Healthy Indiana Plan. MDwise Healthy Indiana Plan members can call 1-844-336-2677 to ask about medicines that are covered. For medicines that are not covered, a prior authorization (PA) is needed. This means your doctor must send MDwise information. You can request a PA by calling 1-800-356-1204.
Home delivery of your maintenance medicines are also available. Maintenance medicines are taken regularly for chronic or long-term conditions. How to start home delivery or mail order.
Statewide Uniform Preferred Drug List (SUPDL)
All managed care plans are aligned with the fee for service (FFS) program under the Statewide Uniform Preferred Drug List (SUPDL). This means that MDwise covers the same preferred and nonpreferred drugs and maintains the same clinical criteria requirements as other Indiana Medicaid providers.
Pharmacy Resources for HIP Plus members
Find a pharmacy/price check for HIP Plus members
Find a drug HIP Plus members
Pharmacy Resources for HIP Basic members
Find a pharmacy/price check HIP Basic members
Find a drug HIP Basic members
Pharmacy Resources for HIP State Plan members
Find a pharmacy/price check HIP State Plan members
Find a drug HIP State Plan members
Do you need your prescription refilled?
Below are places we are partnered with where you can get your prescription refilled online.
How Do I Set Up New Prescriptions with Birdi, Inc.?
Option #1: Your Doctor Sends Your Prescription
Your doctor sends your prescription directly to MedImpact Direct Mail" to "MedImpact's home delivery or mail-order service, Birdi. The prescription is sent electronically or by fax to 1-888-783-1773. Birdi can only accept electronic or faxed prescriptions from your doctor. They will automatically fill and ship most new prescriptions they get from your doctor except for controlled substances.
Option #2: Sign into the Website
Sign into their website at www.medimpact.com to request a new prescription or transfer from a retail pharmacy. Choose “Transfer/Request Prescriptions” at the top of “My Prescriptions -> Prescription List” page and follow instructions.
Option #3: Mail Your Prescription
Fill out the order form. Send the form with your prescription(s) to:
Birdi, Inc.
PO Box 51580
Phoenix, AZ 85076-1580
Questions?
If you have questions, please call Birdi toll-free at 1-855-873-8739 (TTY dial 711).
Birdi customer service hours are:
Monday-Friday 8:00 am – 8:00 pm Eastern Time
Saturday 9:00 am – 4:00 pm Eastern Time
Or email them at customerservice@birdirx.com. Email messages are replied to within two
business days. For security and privacy, please do not include personal health information.
Pharmacy Documents and Links
The machine-readable file format is in accordance with CMS regulations and guidance.