Anthem provides information about pharmacy benefits online at Once there, select the Member Eligibility & Benefits tab, then Pharmacy Benefits. Under Preferred Drug & Formulary Search, select one of the Preferred Drug List (PDL) introductions for the following information:
  • Drug lists
  • Prior authorization criteria
  • Procedures for generic substitution
  • Step therapy
  • Exception requests (Use the forms located on the Pharmacy Benefits page.)
  • Other management methods subject to prescribing decisions
  • Other requirements, restrictions or limitations that apply to using certain drugs


Information about PDL changes is located under Provider Resources under the Communications & Updates section. For information about copayment/coinsurance requirements and their applicable drug classes, see the Indiana Medicaid Provider Manual listed under Manuals, Directories, Training & More.


Featured In:
October 2018 Anthem Indiana Provider Newsletter