Indiana Code
Chapter 5. Services Provided
12-15-5-8. Maintenance Drugs; Prescriptions; Internet Based Pharmacies

Sec. 8. (a) As used in this section, "maintenance drug" means a medication that is dispensed under a single prescription for a period of not less than one hundred eighty (180) days, excluding authorized refills, for the ongoing treatment of a chronic medical condition or disease or congenital condition or disorder.
(b) The office may designate:
(1) a mail order pharmacy;
(2) an Internet based pharmacy (as defined in IC 25-26-18-1);
(3) a pharmacy that agrees to sell a maintenance drug at the same price as a mail order or an Internet based pharmacy; or
(4) all the pharmacies listed in subdivisions (1) through (3);
through which a recipient may obtain a maintenance drug.
(c) If the office makes a designation under subsection (b), a managed care organization that has a contract with the office under IC 12-15-12 is not required to use a pharmacy that is designated under subsection (b).
(d) If a Medicaid recipient's physician prescribes a maintenance prescription drug, the Medicaid recipient may purchase the maintenance prescription drug from a pharmacy that is designated under subsection (b).
(e) The office shall apply to amend the state Medicaid plan if the office determines that an amendment is necessary to carry out this section.
(f) The office may require a recipient to pay the maximum copayment allowable under federal law if the recipient obtains a maintenance drug from a pharmacy other than a pharmacy described in subsection (b).
As added by P.L.246-2005, SEC.105.

Structure Indiana Code

Indiana Code

Title 12. Human Services

Article 15. Medicaid

Chapter 5. Services Provided

12-15-5-1. Services and Supplies Provided; Exceptions

12-15-5-1-b. Services and Supplies Provided; Exceptions

12-15-5-2. Necessity of Federal Financial Participation

12-15-5-3. Repealed

12-15-5-5. Office May Provide Drug Coverage; Requirements for Drug Coverage in Managed Care

12-15-5-6. Repealed

12-15-5-7. Reimbursement for Doula Services; Rules

12-15-5-8. Maintenance Drugs; Prescriptions; Internet Based Pharmacies

12-15-5-9. Provision of Self-Directed Care Options

12-15-5-9.2. Coverage for Care Related to Cancer Clinical Trials

12-15-5-10. Care Available for Individuals Receiving Medicaid Waiver Services; Eligibility Not Affected by Receipt of Services

12-15-5-11. "Telehealth Services"; Reimbursement; Prohibition on Distance Restrictions and Location Requirements; Waiver of Confidentiality; Community Mental Health Centers; Rules

12-15-5-12. "Child"; Reimbursement for Specialized or Nonstandard Wheelchairs; Prior Authorization

12-15-5-13. Coverage for Treatment of Opioid or Alcohol Dependence; Office Requirements; Report Use of Medications to Committee

12-15-5-14. Reimbursement for Services Provided by Advanced Practice Registered Nurse; Eligible Provider

12-15-5-14.5. Eligible Providers for Supervising Treatment Plan

12-15-5-15. Reimbursement for Students; Conditions; Policies

12-15-5-16. Reimbursement for Clinical Addiction Counselors; Clinical Supervision Requirement

12-15-5-17.5. Report on Implementation of Risk Based Managed Care Program; Request for Proposal; Budget Committee Review

12-15-5-18. Emergency Medical Service Provider Agencies; Reimbursement; Federal Approval

12-15-5-18.2. Mobile Integrated Healthcare Program; Authority to Apply for a Waiver and for Federal Funding

12-15-5-18.5. Reimbursement for Emergency Medical Services

12-15-5-18.7. Reimbursement for Emergency Medical Services Provider Organizations; Waiver or State Plan Amendment

12-15-5-19. Medicaid Rehabilitation Option Service; Review; Determination on Services; Report; Notification; Contract With Community Mental Health Center

12-15-5-20. "Intensive Outpatient Treatment Program"

12-15-5-21. Community Mental Health Centers; Governmental Units