Pharmacy - Hoosier Healthwise
Lookup drug-drug interactions:
Package A
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 and drug prices on our Find a Pharmacy/Drug Price Check page.
How the Prescription Benefit Works for Package A
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
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
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.
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.
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 and drug prices on our Find a Pharmacy/Drug Price Check page.
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.
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.
*HHW Package C pharmacy copays may be lower for some T2 single source brand medications.
 |
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 benefits
(coverage MAY be available under the
medical benefit). |
Not covered under pharmacy benefits
(coverage MAY be available under the
medical benefit). |
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. 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 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 or sign in to www.medimpact.com. Visit Documents -> Medication 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